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Comparison of vesical pressure values achieved by Valsalva maneuvers: A standardization proposal.
Pereira-Correia, João A; Rosa, Livia P L; da Silva Costa, Vinícius R; Berle, Fabiola V D; Werneck, Barbara M; Dos Santos, Karolina P R; de Sousa Araujo, Gustavo B; de Carvalho Bittencourt Sodré, Maria J; de Fassio, Rubina L R; Muller, Valter J F.
Afiliação
  • Pereira-Correia JA; Department of Urology, Servidores do Estado Federal Hospital, Rio de Janeiro, Brazil.
  • Rosa LPL; Department of Anatomy, Faculty of Medicine, Estácio de Sá University, Rio de Janeiro, Brazil.
  • da Silva Costa VR; Department of Anatomy, Faculty of Medicine, Estácio de Sá University, Rio de Janeiro, Brazil.
  • Berle FVD; Department of Anatomy, Faculty of Medicine, Estácio de Sá University, Rio de Janeiro, Brazil.
  • Werneck BM; Department of Anatomy, Faculty of Medicine, Estácio de Sá University, Rio de Janeiro, Brazil.
  • Dos Santos KPR; Department of Anatomy, Faculty of Medicine, Estácio de Sá University, Rio de Janeiro, Brazil.
  • de Sousa Araujo GB; Department of Anatomy, Faculty of Medicine, Estácio de Sá University, Rio de Janeiro, Brazil.
  • de Carvalho Bittencourt Sodré MJ; Department of Urology, Servidores do Estado Federal Hospital, Rio de Janeiro, Brazil.
  • de Fassio RLR; Sodré Clinics, Rio de Janeiro, Brazil.
  • Muller VJF; Fassio Clinics, Rio de Janeiro, Brazil.
Neurourol Urodyn ; 37(7): 2191-2194, 2018 09.
Article em En | MEDLINE | ID: mdl-29566263
AIMS: To perform a comparative evaluation of Valsalva maneuver techniques, in an attempt to identify the most suitable one for achieving leak point pressure (LPP) during the cystometric phase of the urodynamic study (UDS), in order to propose a method for technical standardization. METHODS: Urodynamic data from women with stress urinary incontinence at three urogynecological medical centers were randomly selected and prospectively analyzed. Valsalva maneuver was executed through forceful attempted exhalation against the dorsal surface of the hand (Group 1), through abdominal strain (Group 2), or through low-elasticity latex balloon-blowing (Group 3). Patients were classified based on age and higher vesical pressure value, as well as time to perform Valsalva maneuver. RESULTS: Initially, 1358 urodynamic studies were identified as eligible for analysis. Among these, 340 belonged to Group 1, 318 to Group 2, and 700 to Group 3. Valsalva maneuver accomplished through abdominal straining was more effective, inducing increased vesical pressure, across age groups. The same maneuver may be sustained for longer than the other two techniques. CONCLUSION: When performed through abdominal strain, the Valsalva maneuver was more effective for stress urinary incontinence urodynamic's investigation.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Uretra / Incontinência Urinária por Estresse / Urodinâmica / Bexiga Urinária / Manobra de Valsalva Limite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: En Revista: Neurourol Urodyn Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Uretra / Incontinência Urinária por Estresse / Urodinâmica / Bexiga Urinária / Manobra de Valsalva Limite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: En Revista: Neurourol Urodyn Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos