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Outcome Assessment of the Marshall Coughing Test during Cervix Reposition Maneuver in Women with Urinary Stress Incontinence withwithout Genital Prolapse
Author
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-20
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objectives.
Outcome assessment of the Marshall coughing test (MT) during cervix reposition maneuver (CRM) in women with urinary stress incontinence (USI) with/without genital prolapse (GP).
Study Design.
268 patients, divided into USIg (n=132) with isolated USI and USIGPg (n=136) with USI and GP stage I/II, additionally divided into USIGP(A) (n=78) with USI and GP stage I and USIGP(B) (n=58) with USI and GP stage II, were evaluated with pelvic organ prolapse quantification (POPQ), MT, and CRM.
Results.
(a) 7.58% had (+) MT with CRM in USIg; (b) in up to 96.15% MT became negative during CRM in USIGP(A); (c) in 51.72% MT became positive only during CRM, as a sign for occult USI in USIGP(B); (d) point Aa (POPQ), which is bladder neck(BN) projection on the anterior vaginal wall, was situated higher in rest position (RP), but moved lower during the Valsalva maneuver (VM) in USIg versus USIGPg (P<0.05).
Conclusion.
CRM could be useful arm in selection of (1) patients with isolated USI and great chance for postoperative failure; (2) patients with USI+GP stage I, who need GP repair during antistress surgery; (3) patients with USI + GP stage II, who need antistress procedure during vaginal hysterectomy.
American Psychological Association (APA)
Antovska, Vesna. 2012. Outcome Assessment of the Marshall Coughing Test during Cervix Reposition Maneuver in Women with Urinary Stress Incontinence withwithout Genital Prolapse. ISRN Urology،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-447204
Modern Language Association (MLA)
Antovska, Vesna. Outcome Assessment of the Marshall Coughing Test during Cervix Reposition Maneuver in Women with Urinary Stress Incontinence withwithout Genital Prolapse. ISRN Urology No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-447204
American Medical Association (AMA)
Antovska, Vesna. Outcome Assessment of the Marshall Coughing Test during Cervix Reposition Maneuver in Women with Urinary Stress Incontinence withwithout Genital Prolapse. ISRN Urology. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-447204
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-447204