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KMID : 0876319990010010035
Cachon Medical Journal
1999 Volume.1 No. 1 p.35 ~ p.40
The Significance of Estimation of Urine Leakage on Fluoroscopic Cystourethrography in Female Stress Urinary Incontinence : Correlation with Subjective Degree and Valsalva Leak Point Pressure
Lee Jong-Bouk

Choi Yae-Cherl
Yun Deok-Hee
Cho Seung-Phil
Abstract
Purpose: To compare the estimated degree of urine leakage during straining on standing cystourethrography(CIG) under fluoroscopy with subjective degree and Valsalva leak point pressure(VLPP), thereby determine it¢¥s clinical significance.
Materials and Methods: 68 consecutive women with a mean age of 46 years who presented with stress urinary incontinence were included in this study. Standing CIG was performed in the state of urethral catheter insertion and removal. Degree of urine leakage was determined on the fluoroscopy during standing CUG by one urologist, and VLPP was determined by another observer. Each of subjective degree, leakage amount and VLPP was classified into 3 grade and compared it¢¥s result each other.
Results: High correlation was present between leakage amount and VLPP but subjective degree was not highly correlated with leakage amount and VLPP. Among the clinical parameters, urge incontinence only had the positive effect to urine leakage.
Conclusion: Direct estimation of leakage amount on standing CUG seems to be a simple and useful method in the objective evaluation of urine leakage, but must consider the possibility of over-estimation in the case of associated urge incontinence.
KEYWORD
Fluoroscopy, Standing cystourethrography, Urine leakage
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