Urethral sensory threshold and urethro-anal reflex latency in continent women

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dc.contributor.authorCavalcanti, Geraldo de Aguiar
dc.contributor.authorBruschini, Homero
dc.contributor.authorManzano, Gilberto M.
dc.contributor.authorGiuliano, Lydia P.
dc.contributor.authorNobrega, Joao Antonio M.
dc.contributor.authorSrougi, Miguel
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T13:49:14Z
dc.date.available2016-01-24T13:49:14Z
dc.date.issued2007-12-01
dc.description.abstractAims the sensory evaluation of the lower urinary tract is summarized in the bladder proprioceptive sensitivity during cystometry. Experimental studies suggest that abnormalities of the urethral innervation and micturition reflex can be related to the presence of continence disturbances. This study aimed to measure the urethral sensory threshold and the urethro-anal reflex latency in healthy volunteers, establishing reading criteria, comparing the results and technique used with the literature and verifying the effect of physiological factors.Materials and methods Thirty healthy female volunteers were studied. They had an absence of genital or urinary complaints and had undergone no previous pelvic or vaginal procedures. the measurement of the urethral sensory threshold and urethro-anal reflex latency were performed as described.Results the determination of the urethral sensory threshold and urethro-anal reflex latency were obtained in 96.6% of the volunteers. the electrophysiological parameters did not correlate with age, parity or number of vaginal deliveries. There was a positive association of the urethral sensory threshold with height. Technical aspects were considered and compared with those in the literature as well as the advantages and limitations of the method.Conclusions the measurement of the urethral sensory threshold and urethro-anal reflex latency presented consistent recordings. the urethral sensory threshold should be analyzed carefully in individuals with height above the population average. Subsequent observations are necessary to clarify their function in patients with continence disturbances and to measure the urethral function, but these values can be used as normal parameters for comparison.en
dc.description.affiliationUniversidade Federal de São Paulo, Dept Surg, Div Urol, BR-01308000 São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Dept Neurol & Neurosurg, Div Clin Neurol, BR-04023062 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Surg, Div Urol, BR-01308000 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Neurol & Neurosurg, Div Clin Neurol, BR-04023062 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent1061-1068
dc.identifierhttp://dx.doi.org/10.1007/s11255-007-9177-y
dc.identifier.citationInternational Urology and Nephrology. Dordrecht: Springer, v. 39, n. 4, p. 1061-1068, 2007.
dc.identifier.doi10.1007/s11255-007-9177-y
dc.identifier.issn0301-1623
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/30175
dc.identifier.wosWOS:000251188200013
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofInternational Urology and Nephrology
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dc.subjectelectrodiagnosisen
dc.subjectneurophysiologyen
dc.subjectpelvic flooren
dc.subjecturethraen
dc.subjecturinary incontinenceen
dc.subjecturodynamicsen
dc.titleUrethral sensory threshold and urethro-anal reflex latency in continent womenen
dc.typeinfo:eu-repo/semantics/article
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