Urodynamic Responses to Anal Stretch in Patients With Detrusor Sphincter Dyssynergia
Autor: | Henry L. Lew, Liu-Ing Bih, Yu-Hui Huang, Su-Ju Tsai, Sung-Lang Chen |
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Rok vydání: | 2008 |
Předmět: |
Male
medicine.medical_specialty Urology Anal Canal Physical Therapy Sports Therapy and Rehabilitation Statistics Nonparametric Physical Stimulation Humans Medicine Urinary Bladder Neurogenic Spinal cord injury Spinal Cord Injuries Analysis of Variance business.industry Urethral sphincter Rehabilitation Urination disorder Middle Aged Anal canal Urination Disorders Anus medicine.disease Urodynamics medicine.anatomical_structure Urethra Sphincter Female business Detrusor sphincter dyssynergia |
Zdroj: | Archives of Physical Medicine and Rehabilitation. 89:1748-1752 |
ISSN: | 0003-9993 |
DOI: | 10.1016/j.apmr.2007.12.051 |
Popis: | Huang Y-H, Chen S-L, Tsai S-J, Bih L-I, Lew HL. Urodynamic responses to anal stretch in patients with detrusor sphincter dyssyngergia. Objective To evaluate the urodynamic responses to anal stretch in patients with detrusor sphincter dyssynergia (DSD). Design Descriptive study. Setting Rehabilitation hospital affiliated with a medical university. Participants Patients (N=36) with suprasacral spinal cord injury who had DSD confirmed on cystometrography. Interventions Not applicable. Main Outcome Measures Detrusor pressure, urethral pressure, and summated electromyogram of external urethral sphincter on cystometrography. Results The urodynamic responses to anal stretch were evaluated in the first half (time 1, 1–15s) and the second half (time 2, 16–30s) of the evaluation time period. The activity of external urethral sphincter was reduced significantly in both times 1 and 2 ( P Conclusions Anal stretch can reduce the activity of external urethral sphincter without significant change in detrusor pressure. |
Databáze: | OpenAIRE |
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