Bladder neck mobility in continent nulliparous women

Peschers, Ursula M.; Fanger, Gabi; Schaer, Gabriel N.; Vodusek, David B.; DeLancey, John O.L.; Schuessler, Bernhard

doi:10.1111/j.1471-0528.2001.00066.x

Cited by 96Pelvic floor disorders treatmentsUrinary Bladder and Prostate ResearchSexual function and dysfunction studies

Bladder neck mobility in continent nulliparous women

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Peschers, Ursula M., Fanger, Gabi, Schaer, Gabriel N., Vodusek, David B., DeLancey, John O.L., Schuessler, Bernhard·2001·BJOG: An International Journal of Obstetrics & Gynaecology

DOI 10.1111/j.1471-0528.2001.00066.x

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Abstract

Objective To evaluate the mobility of the vesical neck during coughing and valsalva in healthy nulliparous volunteers and to test the reliability of the technique applied. Design Clinical observational study. Setting Department of Obstetrics and Gynaecology, Cantonal Hospital Lucerne, Switzerland. Population Thirty‐nine nulliparous volunteers. Methods Vesical neck motion was assessed with perineal ultrasound. Intra–abdominal pressure was controlled for with an intrarectal probe. Intra‐rater reliability was evaluated. Results Vesical neck mobility was significantly lower during coughing (8 mm, SD 4 mm) than during valsalva (15 mm, SD 10 mm) (P < 0.005). Between individuals mobility varied from 4 mm to 32 mm during coughing and from 2 mm to 31 mm during valsalva. Test‐retest‐studies showed a maximum difference between to tests during coughing of 4 mm and during valsalva of 5 mm. Conclusion The bladder neck is mobile in normal continent women and bladder neck mobility is lower during coughing than during Valsalva.

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A voluntary contraction of the pelvic floor muscles constricts the levator hiatus, elevates and stabilizes the pelvic floor into a higher position.
“a voluntary contraction of the PFM constricts the levator hiatus, elevates and stabilizes the pelvic floor into a higher position.”
From International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training (2022) · cites this paper as [24]
The Discussion (p. 322) suggests that pelvic muscle contraction during coughing may stabilize the pelvic floor and support the bladder neck. The Methods describe voluntary pelvic-floor contractions, but the paper does not report that they constrict the levator hiatus or elevate the pelvic floor; it also presents stabilization as a possible explanation, not an established effect of voluntary contraction. (LLM, conf=0.84)
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Authors: Peschers, U. M., Fanger, G., Schaer, G. N., Vodusek, D. B., DeLancey, J. O. L., & Schuessler, B.
Affiliations: Ludwig-Maximilians-Universität München (DE)
Luzerner Kantonsspital (CH)
Kantonsspital Aarau (CH)
University of Michigan (US)
Corresponding author: Peschers, Ursula M.
ORCID: Schaer, Gabriel N.
DeLancey, John O.L.
Venue: BJOG: An International Journal of Obstetrics & Gynaecology
Publisher: Wiley
Published: 2001-03
Volume: 108
Issue: 3
Pages: 320-324
ISSN: 0306-5456 (ISSN-L)
1470-0328
1471-0528
DOI: 10.1111/j.1471-0528.2001.00066.x
OpenAlex: W1993457281
Cited by: 96
References: 19
Citations by year: 2025: 2 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 2 · 2020: 4 · 2019: 5 · 2018: 2 · 2017: 5 · 2016: 2 · 2015: 4 · 2014: 6 · 2013: 3 · 2012: 2
FWCI: 2.83
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1026 d)
Locations: BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
PubMed (publishedVersion)
Deep Blue (University of Michigan) (submittedVersion)
Topics: Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Keywords: bladder neck mobility, nulliparous women, cough, Valsalva maneuver, intra-abdominal pressure, transperineal ultrasound, urinary incontinence, test-retest reliability
MeSH terms: Adolescent, Adult, Urinary Bladder, Cough, Female, Humans, Pressure, Sensitivity and Specificity, Urinary Incontinence, Stress, Urodynamics, Valsalva Maneuver, Reproducibility of Results

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Bladder neck mobility in continent nulliparous women

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