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A neurogenic element to urinary genuine stress incontinence
Author(s) -
ANDERSON ROBERT S.
Publication year - 1984
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1984.tb05277.x
Subject(s) - denervation , pelvic floor , urology , medicine , urinary incontinence , stress incontinence , anal sphincter , sphincter , external anal sphincter , urethral sphincter , etiology , motor unit , anatomy , surgery , anal canal , rectum
Summary. The motor unit fibre density in the external anal sphincter has been measured in 35 women with genuine stress incontinence and in 14 continent women. The mean (SD) fibre density in the normal women was 1.5 (0.15) and in the incontinent women it was 1.96 (0.34) (P<0.002). These data provide evidence of peripheral denervation of the external anal sphincter and imply synchronous denervation of the pelvic floor muscles. It is suggested that denervation is an aetiological factor in genuine stress incontinence.