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여성복압성 요실금환자에서 Valsava Leak Point Pressure와 증상정도의 상관관계

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Author(s)
최봉기김천일박철희
Keimyung Author(s)
Park, Choal HeeKim, Chun Il
Department
Dept. of Urology (비뇨의학)
Journal Title
Keimyung Medical Journal
Issued Date
1999
Volume
18
Issue
3
Keyword
Stress urinary incontinenceValsalva leak point pressureSymptom degree
Abstract
Purpose: The Valsalva leak point pressure testing is a valuable tool in the diagnosis of female stress urinary incontinence, especially intrinsic sphincter deficiency. The purpose of this study is to correlate clinical parameters of stress urinary incontinence with Valsalva leak point pressure which represents intrinsic sphincter activity.
Materials and Methods: We examined sixty consecutive women with stress urinary incontinence including symptom grade(SEAPI-QMN classification), Q-tip test, 1 hour pad test and Valsalva leak point pressure. The clinical parameters of stress urinary incontinence were compared each other and the correlation coefficients were analyzed between them.
Results: The mean patient age was 50 years(range 27 to 75 years). Their symptom grade was grade 1 in 17 patients (28.3%), 2 in 30 (50%) and 3 in 13 (22.7%). According to Blaivas and Olsson classification, they were type Ⅰ in 10 patients (16.7%), Ⅱ in 43 (71.7%) and Ⅲ in 7 (12.6%). The patients who have Valsalva leak point pressure of greater than 60cm. water and the urethral hypermobility were grade 1 in 17 patients (100%) and 14 patients (82.4%), 2 in 28 (93.3%) and 26 (86.7%), 3 in 4 (30.8%) and 7(53.8%). There was a statistically significant difference between the number of patients with Valsalva leak point pressure of greater than 60cm. water and 60cm. water or less among the 3 symptom grades (p<0.01). The Valsalva leak point pressure in patients with urethral hypermobility was significantly higher than in those without urethral hypermobility (p<0.05). The Valsalva leak point pressure was highly correlated with the symptom grades among clinical parameters of stress urinary incontinence.
Conclusion: Women with higher symptom grades of stress urinary incontinence were significantly more likely to have a low Valsalva leak point pressure which indicate intrinsic sphincter deficiency.
Alternative Title
Correlation
between Valsalva Leak Point Pressure and Symptom Degrees in Stress Urinary Incontinence
Keimyung Author(s)(Kor)
박철희
김천일
Publisher
Keimyung University School of Medicine
Citation
최봉기 et al. (1999). 여성복압성 요실금환자에서 Valsava Leak Point Pressure와 증상정도의 상관관계. Keimyung Medical Journal, 18(3), 439–447.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15163
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 1999
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
3. Research Institutues (연구소) > Institute for Medical Science (의과학연구소)
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