AI Article Synopsis
- * Out of 534 incontinent women, only 11 exhibited this condition, with 2 cases being the sole reason for their incontinence.
- * Diagnosis requires ruling out other factors like low pressure detrusor contractions and requires careful evaluation, suggesting that it may be due to exaggerated urethral instability rather than issues with detrusor contractions.
Article Abstract
Uninhibited urethral relaxation appears to be a clinically distinct cause of urinary incontinence. It was found in 11 of 534 incontinent women who had multichannel urodynamic evaluation, and in 2 of these it was the sole cause of incontinence. This diagnosis should only be made after careful scrutiny has ruled out a low pressure detrusor contraction, cough, valsalva, or heel bounce as the cause of the urethral relaxation. Because the majority of patients had a voiding mechanism that included a detrusor contraction, it is unlikely that uninhibited urethral relaxation represents a variant of detrusor instability in patients unable to generate a detrusor contraction. It most likely reflects an exaggeration of urethral instability due to relaxation of the smooth and/or striated urethral musculature.
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