Testing périnéal et incontinence urinaire masquée dans l’évaluation clinique des prolapsus génitaux View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-02-16

AUTHORS

X. Deffieux, C. Trichot, L. -M. Bontoux, G. Demoulin, T. Thubert, E. Faivre

ABSTRACT

Vaginal palpation is commonly used in clinical practice to evaluate pelvic floor muscle strength, and several grading systems, such as the Modified Oxford grading system, have been developed. However, the clinical method is not reproducible, sensitive and valid for measuring pelvic floor muscle strength. Furthermore, even if the dynamometric mean forces of the pelvic floor muscle increase across subsequent categories of digital assessment (0 to 5, Modified Oxford grading system), the force values between two adjacent categories do not differ enough (poor discrimination). These severe limitations of clinical digital assessment should be considered by clinicians and researchers. Stress incontinence on prolapse reduction (occult or latent stress incontinence) is defined as follows: stress incontinence only observed after the reduction of a co-existent prolapse. Many methods of prolapse reduction are described. Reduction using a speculum valve is the more sensitive method. The incidence of stress urinary incontinence manifesting after prolapse surgery is low (0–2%), when no occult stress incontinence is observed pre-operatively. On the other hand, the presence of occult stress incontinence during clinical exam is associated with a high incidence of post-operative de novo stress incontinence (from 20 up to 60%). However, the possible side effects of an incontinence surgery justify a discussion regarding using a one-step or a two-step approach. More... »

PAGES

59-64

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11608-011-0362-1

DOI

http://dx.doi.org/10.1007/s11608-011-0362-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1006351342


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