Neurourology and Urodynamics
Circumferential Urinary Sphincter Surface Electromyography: A Novel Diagnostic Method for Intrinsic Sphincter Deficiency John Heesakkers,1 Reza Gerretsen,2 Ander Izeta,3 Karl-Dietrich Sievert,4 and Fawzy Farag1,5* 2
1 Department of Urology, Radboud University Medical Centre, Nijmegen, The Netherlands Department of Forensic Medicine, Netherlands Forensic Institute, The Hague, The Netherlands 3 Instituto Biodonostia, Hospital Universitario Donostia, San Sebastian, Spain 4 Department of Urology, University of Tuebingen, Tuebingen, Germany 5 Department of Urology, Sohag University Hospital, Sohag, Egypt
Aims: 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)
Circumferential Urinary Sphincter Surface Electromyography: A Novel Diagnostic Method for Intrinsic Sphincter Deficiency John Heesakkers,1 Reza Gerretsen,2 Ander Izeta,3 Karl-Dietrich Sievert,4 and Fawzy Farag1,5* 2
1 Department of Urology, Radboud University Medical Centre, Nijmegen, The Netherlands Department of Forensic Medicine, Netherlands Forensic Institute, The Hague, The Netherlands 3 Instituto Biodonostia, Hospital Universitario Donostia, San Sebastian, Spain 4 Department of Urology, University of Tuebingen, Tuebingen, Germany 5 Department of Urology, Sohag University Hospital, Sohag, Egypt
Aims: 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)
![[Intrinsic sphincter deficiency and female urinary incontinence].](/assets/img/hold.png)
