Urethro‐vaginal reflux during micturition: An underestimated cause of urinary incontinence in adult women. Issue 7 (10th July 2019)

• Record Type: Journal Article
• Authors: Motavasseli, Damien; Charlanes, Audrey; Chesnel, Camille; Menoux, Diane; Charoenwong, Francis; Le Breton, Frederique; Jousse, Marylène; Amarenco, Gérard
• Is Part Of: Neurourology and urodynamics. Volume 38:Issue 7(2019:Sep.)
• Page Start: 1953
• Page End: 1957
• Publication Date: 2019-07-10
• Subjects: urethra -- urinary incontinence -- urinary tract -- urography -- vaginal diseases; Urinary organs -- Periodicals; Urodynamics -- Periodicals; Urology -- Periodicals; 616.6
• DOI: 10.1002/nau.24098
• Languages: English
• ISSNs: 0733-2467

Abstract

Abstract: Aims: To evaluate if urethrovaginal reflux (UVR) is an underestimated cause of insensible or postmicturition incontinence in adult women. Methods: An observational and retrospective study was carried out on the computerized records of a neuro‐urology department. Female patients who had insensible or postmicturition incontinence were investigated. Retrograde and voiding urethrocystography (UCG), urodynamic evaluation, urethral pressure profilometry, and anamnestic and clinical examination had to be available. Results: Among the 79 adult female patients with insensible or postmicturition incontinence in whom the whole set of required evaluations was achieved, 16 had a UVR (mean age 47 ± 15 years). There were no urethral diverticula, urethrocele, vesicovaginal, or urethrovaginal fistula on their UCG. All of them also had a cystoscopy and a CT urography which did not establish any abnormality. Conclusions: UVR is not an exclusive pathology of children. This mechanism seems to be an underestimated cause of urinary incontinence in adult women. Retrograde and voiding UCG appears to be the gold standard to confirm the intravaginal reflux.