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Bladder instability in women: A premature activation of the micturition reflex
Author(s) -
Papa Petros P. E.,
Ulmsten U.
Publication year - 1993
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.1930120305
Subject(s) - urination , medicine , detrusor instability , reflex , urge incontinence , urinary incontinence , urination disorder , postural instability , urology , anesthesia , urinary system , disease , parkinson's disease
Abstract Urethrocystometry was performed during a provocative hand washing test in 163 patients, 115 of whom had a prior history of urge incontinence. Almost invariably, a rise in detrusor pressure, when present, followed a fall in urethral pressure, and both were preceded by urge symptoms. This pattern appears to conform to the concept of “urethral instability”, “detrusor instability” and urge incontinence being different manifestations of a prematurely activated micturition reflex.