Opening vesical pressure: a new test to discriminate urethral sphincter deficiency?

Int Urogynecol J (2007) 18:1435–1438 DOI 10.1007/s00192-007-0379-8

ORIGINAL ARTICLE

Opening vesical pressure: a new test to discriminate urethral sphincter deficiency? Stefano Salvatore & Maurizio Serati & Vik Khullar & Fabio Ghezzi & Paola Triacca & Alessandro Digesù & Paolo Beretta & Pier Francesco Bolis

Received: 8 February 2007 / Accepted: 9 April 2007 / Published online: 4 May 2007 # International Urogynecology Journal 2007

Abstract Urethral sphincter deficiency (USD) is not standardised. Opening vesical pressure could reflect the pressure exerted to overcome urethral resistance during void; thus, we evaluated if it could discriminate USD. Women with urinary symptoms were prospectively assessed with a questionnaire and urodynamics and divided into three groups: urodynamic stress incontinence with USD (group 1), urodynamic stress incontinence related to urethral hypermobility without USD (group 2) and normal urodynamic (group 3). USD was defined as the concomitant presence of severe urodynamic stress incontinence, VLPP