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Self‐induced plantar‐flexion objectively reduces wave amplitude of detrusor overactivity and subjectively improve urinary urgency: A pilot study
Author(s) -
Stav Kobi,
Leibovici Dan,
Yoram Siegel I.,
Ronny Ohlgisser,
Zisman Am
Publication year - 2014
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.22493
Subject(s) - medicine , overactive bladder , cystometry , plantar flexion , visual analogue scale , urinary incontinence , urinary system , urology , anesthesia , urinary bladder , surgery , alternative medicine , ankle , pathology
Aims To estimate the effect of plantar‐flexion on the wave amplitude of involuntary detrusor contraction and the severity of urinary urgency during filling cystometry in patients with detrusor overactivity (DO). Methods Twenty‐two consecutive patients with DO were enrolled. During urodynamics, the mean peak detrusor pressures of each contraction were documented and compared. At the beginning of the 2nd or 3rd wave, patients were asked to perform continuous plantar‐flexion by pushing their tiptoes against the floor. Following each wave, patients were asked to grade the severity of the urgency by a visual analogue scale (VAS). Results The mean peak detrusor pressure without plantar‐flexion was 58 cmH 2 O (95% CI: 46.3–69.7) compared to 31 cmH 2 O (95% CI: 23.1–38.9) with plantar‐flexion ( P < 0.001). All patients reported a reduced degree of urgency during plantar‐flexion reflected in a significant reduction in mean VAS score from 9.3 (95% CI: 9–9.5) to 4.7 (95% CI: 3.9–5.4; P < 0.0001). Conclusions Self‐performed plantar‐flexion maneuver might reduce the severity of urinary urgency and the magnitude of overactive detrusor contractions, which may have a role in the conservative therapy of detrusor overactivity. Neurourol. Urodynam. 33:1247–1250, 2014 . © 2013 Wiley Periodicals, Inc.