Circumferential urinary sphincter surface electromyography: A novel diagnostic method for intrinsic sphincter deficiency
- Heesakkers, J.P.F.A.
- Gerretsen, R.
- Izeta, A.
- Sievert, K.D.
- Farag, F.
DOIAbstract
Item does not contain fulltextAIMS: The diagnosis of intrinsic sphincter deficiency (ISD) in patients with stress urinary incontinence (SUI) is not well established. We explored the possibility of applying a new tool: minimally invasive circumferential sphincter surface electromyography (CSS-EMG) to assess the muscular integrity of the urethral sphincter in patients with SUI/ISD. METHODS: CSS-EMG of the urethral sphincter and urodynamic studies were performed in 44 women with SUI. A urethral pressure profile (UPP) was measured in four directions. Maximal urethral closure pressure (MUCP) <40 cm/H2 O or the presence of SUI without urethral hypermobility was used to define ISD. RESULTS: Twenty-one patients had urodynamic SUI, 23 had no SUI and...
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