Etude de la variabilité du seuil de pression de fuite à l'effort «Valsalva Leak Point Pressure» en fonction du volume de remplissage de la vessie

Translated title of the contribution: Study of the Valsalva leak point pressure variability as a function of the bladder filling volume

François Haab, Roger Dmochowski, Philippe Zimmern, Gary E. Leach

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective : To determine the influence of the bladder filling volume on the Valsalva Leak Point Pressure (VLPP) in patients investigated for urinary stress incontinence. Patients and methods : 50 patients investigated for urinary stress incontinence were included in this prospective study. Evaluation consisted of clinical examination, urodynamic examination with simultaneous fluoroscopic assessment and cystoscopy. VLPP was measured while standing every 100 cc during filling until the cystomanometric bladder capacity. Results : We observed a significant reduction of VLPP as a function of bladder filling volume. The VLPP measured at 200 cc constituted the reference value in view of its sensitivity and specificity for the diagnosis of type III urinary stress incontinence (Blaivas' classification). Conclusion : Measurement of VLPP must be standardized and interpreted as a function of bladder filling volume.

Original languageFrench
Pages (from-to)423-425
Number of pages3
JournalProgres en Urologie
Volume7
Issue number3
StatePublished - 1997

Fingerprint

Urinary Bladder
Stress Urinary Incontinence
Pressure
Cystoscopy
Urodynamics
Reference Values
Prospective Studies
Sensitivity and Specificity

Keywords

  • Urinary incontinence
  • Urodynamics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Etude de la variabilité du seuil de pression de fuite à l'effort «Valsalva Leak Point Pressure» en fonction du volume de remplissage de la vessie. / Haab, François; Dmochowski, Roger; Zimmern, Philippe; Leach, Gary E.

In: Progres en Urologie, Vol. 7, No. 3, 1997, p. 423-425.

Research output: Contribution to journalArticle

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abstract = "Objective : To determine the influence of the bladder filling volume on the Valsalva Leak Point Pressure (VLPP) in patients investigated for urinary stress incontinence. Patients and methods : 50 patients investigated for urinary stress incontinence were included in this prospective study. Evaluation consisted of clinical examination, urodynamic examination with simultaneous fluoroscopic assessment and cystoscopy. VLPP was measured while standing every 100 cc during filling until the cystomanometric bladder capacity. Results : We observed a significant reduction of VLPP as a function of bladder filling volume. The VLPP measured at 200 cc constituted the reference value in view of its sensitivity and specificity for the diagnosis of type III urinary stress incontinence (Blaivas' classification). Conclusion : Measurement of VLPP must be standardized and interpreted as a function of bladder filling volume.",
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AU - Leach, Gary E.

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