Neurophysiological findings in women with recurrent urinary incontinence after Burch colposuspension

Autor: G. Rydén, E. Bäckman, P. Kjølhede
Rok vydání: 1995
Předmět:
Zdroj: International Urogynecology Journal and Pelvic Floor Dysfunction. 6:162-167
ISSN: 1433-3023
0937-3462
DOI: 10.1007/bf01900579
Popis: The aim of this prospective observational study was to analyze the occurrence of neurogenic damage in the pelvic floor muscles in women with recurrent stress urinary incontinence, and to analyze whether a peripheral neuropathy in general covariates with possible neurogenic damage to the pelvic floor muscles. Seventeen women with recurrent stress urinary incontinence and 16 healthy continent women underwent a concentric needle electromyography (EMG) of the pubococcygeal muscles bilaterally and the external anal sphincter muscle, and a neurography of eight peripheral nerves. Seventy-five per cent of the healthy continent women displayed a deviant neurogenic pattern of the EMG in at least one of the pubococcygeal muscles, compared to 76% of the women with recurrent incontinence. Neurogenic patterns in all three investigated muscles were found significantly more often among the women with recurrent incontinence than in the healthy continent women. The age of all the women with neurogenic EMG patterns in all three muscles investigated was significantly higher than that of the women with neurogenic EMG patterns in two or less of the investigated muscles. The neurographic measurements showed no statistically significant differences between the groups. Conclusions showed that a neurogenic EMG pattern was frequently observed in the pubococcygeal muscles. Women with recurrent stress urinary incontinence were found to exhibit deviant EMG patterns in more pelvic floor muscles than did continent women.
Databáze: OpenAIRE
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