Maximum urethral closure pressure in women: normative data and evaluation as a diagnostic test.

Introduction And Hypothesis: Our goal was to identify correlates of maximum urethral closure pressure (MUCP) and MUCP as a diagnostic test for stress urinary incontinence (SUI).

Methods: This study was a retrospective review of women with non-neurological referrals for urinary incontinence between1995 and 2006.

Results: We studied the characteristics of 8,644 women who underwent urodynamics for non-neurological referrals.

The management of adolescents with neurogenic urinary tract and bowel dysfunction.

Most children with neurogenic bladder dysfunction arrive into adolescence with reasonably managed lower urinary tract function only to experience bladder and kidney function deterioration after puberty. The aim of this article is to identify issues that contribute to adverse changes in bladder and renal function during adolescence and to highlight strategies to preserve urinary tract integrity, social continence, patient autonomy, and independence. Surveillance of bladder function requires patient attendance at review appointments and compliance with treatment plans.

Defining achievable standards in urodynamics-a prospective study of initial resting pressures.

Aims: Establishing accurate initial resting pressures is an important step in quality control at the start of a urodynamics test. We therefore carried out a prospective study to establish the initial resting pressures achievable with careful quality control.

Methods: Consecutive patients undergoing urodynamics were recruited.

Increased patient information does not reduce patient anxiety regarding urodynamic studies.

Objective: To establish if patient anxiety pre-urodynamic investigation can be reduced by providing more information within the patient information sheet (PIS).

Patients And Methods: Two prospective cohorts of consecutive patients (round 1, n = 98 and round 2, n = 94) were asked to complete a visual analogue scale (VAS) quantifying their anxiety prior to urodynamics (UDS) and again after UDS quantifying their anxiety of potentially repeating UDS. Patients in round 1 received the standard hospital PIS.

Can maximum urethral closure pressure (MUCP) be used to predict outcome of surgical treatment of stress urinary incontinence?

Aims: The outcome of surgery for stress urinary incontinence (SUI) can be unpredictable. Urethral pressure measurements, including measurement of maximum urethral closure pressure (MUCP) can form part of the investigation of women prior to SUI surgery and some studies have suggested that women with higher MUCP may have a better surgical outcome. This study aims to determine whether outcome of SUI surgery is related to pre-operative MUCP.