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The urine stream interruption test and pelvic muscle function in the puerperium. 2002

A Sartore, and R Pregazzi, and P Bortoli, and E Grimaldi, and G Ricci, and S Guaschino
Department of Obstetrics and Gynecology, University of Trieste, I.R.C.C.S. Burlo Garofolo, Trieste, Italy. sartore@burlo.trieste.it

OBJECTIVE This study assesses the role of the uroflowmetric urine stream interruption test (UST) in the evaluation of postpartum pelvic floor muscle function. METHODS Two months after vaginal delivery, 492 women who underwent a digital test, vaginal manometry, and a UST were divided into two groups: continent and incontinent. Variables were subjected to the Student's t-test and to Fisher's exact test to verify the difference between the two groups. RESULTS Digital test and vaginal manometry results were higher in the continent group, but only the UST showed significantly different values (P=0.001). All test results of incontinent puerperae who underwent rehabilitation were significantly improved after treatment. CONCLUSIONS UST is low cost, non-invasive, and can give objective information about pelvic floor performance after a vaginal delivery. It can be used for both routine clinical use and an outcome measure for women who undergo rehabilitation treatment.

UI MeSH Term Description Entries
D008365 Manometry Measurement of the pressure or tension of liquids or gases with a manometer. Tonometry,Manometries
D010173 Palpation Application of fingers with light pressure to the surface of the body to determine consistence of parts beneath in physical diagnosis; includes palpation for determining the outlines of organs. Palpations
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D003950 Diagnostic Techniques, Urological Methods and procedures for the diagnosis of diseases or dysfunction of the urinary tract or its organs or demonstration of its physiological processes. Diagnostic Technic, Urological,Diagnostic Technics, Urologic,Diagnostic Technics, Urological,Diagnostic Technique, Urological,Diagnostic Techniques, Urologic,Technic, Urological Diagnostic,Technics, Urological Diagnostic,Technique, Urological Diagnostic,Techniques, Urological Diagnostic,Urological Diagnostic Technic,Urological Diagnostic Technics,Urological Diagnostic Technique,Urological Diagnostic Techniques,Diagnostic Technic, Urologic,Diagnostic Technique, Urologic,Technic, Urologic Diagnostic,Technics, Urologic Diagnostic,Technique, Urologic Diagnostic,Techniques, Urologic Diagnostic,Urologic Diagnostic Technic,Urologic Diagnostic Technics,Urologic Diagnostic Technique,Urologic Diagnostic Techniques
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D014550 Urinary Incontinence, Stress Involuntary discharge of URINE as a result of physical activities that increase abdominal pressure on the URINARY BLADDER without detrusor contraction or overdistended bladder. The subtypes are classified by the degree of leakage, descent and opening of the bladder neck and URETHRA without bladder contraction, and sphincter deficiency. Urinary Stress Incontinence,Incontinence, Urinary Stress,Stress Incontinence, Urinary
D014554 Urination Discharge of URINE, liquid waste processed by the KIDNEY, from the body. Micturition

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