Bladder neck competency at rest in women with incontinence.


Journal Article

PURPOSE: We determine the presence of an open bladder neck during video urodynamic studies and relate that finding to the presence of stress urinary incontinence. MATERIALS AND METHODS: Patients presenting with urinary incontinence, voiding dysfunction or pelvic floor prolapse underwent video urodynamics. With the patient upright and after 200 ml. contrast material had been instilled into the bladder the bladder neck was viewed to determine if it was open or closed. At that point the abdominal leak point pressure was measured. RESULTS: Of 102 women, average age 56.5 years (range 31 to 82), 13% had an open bladder neck and demonstrable stress incontinence on video urodynamics with an average abdominal leak point pressure of 45 cm. water (range 26 to 90). Of those with stress incontinence on urodynamics 23% had an open bladder neck. No continent patient had an open bladder neck. CONCLUSIONS: The presence of an open bladder neck with the bladder filled to 200 ml. correlates strongly with the presence of stress incontinence.

Full Text

Duke Authors

Cited Authors

  • English, SF; Amundsen, CL; McGuire, EJ

Published Date

  • February 1999

Published In

Volume / Issue

  • 161 / 2

Start / End Page

  • 578 - 580

PubMed ID

  • 9915452

Pubmed Central ID

  • 9915452

International Standard Serial Number (ISSN)

  • 0022-5347


  • eng

Conference Location

  • United States