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Urethro‐vaginal reflux during micturition: An underestimated cause of urinary incontinence in adult women
Author(s) -
Motavasseli Damien,
Charlanes Audrey,
Chesnel Camille,
Menoux Diane,
Charoenwong Francis,
Le Breton Frederique,
Jousse Marylène,
Amarenco Gérard
Publication year - 2019
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.24098
Subject(s) - medicine , reflux , urinary incontinence , cystoscopy , urination , urology , urinary system , gynecology , surgery , disease
Aims To evaluate if urethrovaginal reflux (UVR) is an underestimated cause of insensible or postmicturition incontinence in adult women. Methods An observational and retrospective study was carried out on the computerized records of a neuro‐urology department. Female patients who had insensible or postmicturition incontinence were investigated. Retrograde and voiding urethrocystography (UCG), urodynamic evaluation, urethral pressure profilometry, and anamnestic and clinical examination had to be available. Results Among the 79 adult female patients with insensible or postmicturition incontinence in whom the whole set of required evaluations was achieved, 16 had a UVR (mean age 47 ± 15 years). There were no urethral diverticula, urethrocele, vesicovaginal, or urethrovaginal fistula on their UCG. All of them also had a cystoscopy and a CT urography which did not establish any abnormality. Conclusions UVR is not an exclusive pathology of children. This mechanism seems to be an underestimated cause of urinary incontinence in adult women. Retrograde and voiding UCG appears to be the gold standard to confirm the intravaginal reflux.