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Influence of the urine stream interruption exercise on micturition
Author(s) -
Chesnel Camille,
Charlanes Audrey,
Tan Eliane,
Turmel Nicolas,
Breton Frédérique Le,
Ismael Samer Sheikh,
Hentzen Claire,
Amarenco Gérard
Publication year - 2019
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/iju.14092
Subject(s) - urination , medicine , urine , urology , residual volume , residual urine , urinary system , prostate , lung volumes , cancer , lung
Objectives To assess the effect of urine stream interruption exercise on micturition. Methods This study was conducted prospectively in female patients without urinary disorders. Two uroflowmetries were performed: one during a usual micturition and one during an exercise of urine stream interruption. For the urine stream interruption exercise the subject was asked to begin the micturition, to stop it at 3 s, when the stream is interrupted, to start voiding again, then again stop it at 3 s and repeat this manoeuvre until the end of the micturition. Results Twenty female patients (mean age 38.7 years old, SD 12.3) were included. Post void residual volume was higher after the urine stream interruption micturition (mean 36.7 mL, SD 46.6) than during standard micturition (mean 8.2 mL, SD 24.1) ( P = 0.02). During normal voiding, the maximal flow rate was higher (26.9 mL/min vs 17.8 mL/min; P < 0.0001). There was no difference concerning neither the voiding volume nor the slope of ascending part of flow curve. During urine stream interruption micturition, the flow rate slope, the voiding volume and the maximal flow rate by voiding sequence were decreasing as the voiding sequences followed each other. Conclusions Urine stream interruption increases the post‐void residual volume and translates into less efficient micturition. Thus, it should not be used in current practice of pelvic floor muscles training.