6533b837fe1ef96bd12a3099

RESEARCH PRODUCT

Low Urethral Pressure Profile - Clinical Implications

Markus HohenfellnerDaniela Schultz LampelS. E. DahmsSusanne KloeppelJoachim W. ThüroffStefan MüllerSebastian W. Melchior

subject

Stress incontinencePressure transmissionmedicine.medical_specialtyUrinary continencebusiness.industryUrethral closureUrologyUrinary systemUrinary incontinencemedicine.diseaseSurgeryUrethral pressure profileNephrologyUrethral pressuremedicinemedicine.symptombusiness

description

The clinical impact of urethral pressure profilometry (UPP) has been a main urological topic over the past three decades. Exaggareted expectations and differing techniques with incongruent results caused a controversial appearance. However, since the UPP is the only method to measure directly aspects of the urethral closure function, all types of sphincteric urinary incontinence represent indications for this measurement. Based on long-term experience this paper aims to discuss the various complexes regarding the urethral pressure profilometry. The significance of the urethral closure function for urinary continence and the urodynamic relevance of active and passive pressure transmission are described. In addition, clinical implications in terms of therapeutic strategies to treat urinary stress incontinence with regards to a low urethral pressure profile are presented.

https://doi.org/10.1080/003655901750175051