Abstract
Pelvic organ prolapse and urinary stress incontinence in women are multifactorial in etiology. The etiologic factors associated with these two conditions are thought to have considerable overlap. Stress incontinence is associated with hypermobility of the bladder neck as well as intrinsic sphincter weakness with most patients having overlap of these two components. Hypermobility of the bladder neck can be elicited on physical examination with the presence of cystourethrocele.
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References
Al-Rawi ZS, Al Rawa ZT. Joint hypermobility in women with genital prolapse. Lancet. 1982;1(8287):1439–41.
Norton PA, Baker JE, Sharp HC, Warenski JC. Genitourinary prolapse and joint hypermobility in women. Obstet Gynecol. 1995;85:225–8.
McIntosh LJ, Mallett VT, Frahm JK, Richardson DA, Evans MI. Gynecologic disorders in women with Ehlers-Danlos syndrome. J Soc Gynecol Investig. 1995;2(3):559–64.
McIntosh LJ, Stanitski DF, Mallett VT, Frahm JD, Richardson DA, Evans MI. Ehlers-Danlos syndrome: relationship between joint hypermobility, urinary incontinence and pelvic floor prolapse. Gynecol Obstet Invest. 1996;41(2):135–9.
Sayer TR, Dixon JS, Hosker GL, Warrell DW. A study of paraurethral connective tissue in women with stress incontinence of urine. Neurourol Urodynam. 1990;9:319–20.
Falconer C, Ekman G, Malmstrom A, Ulmsten U. Decreased collagen synthesis in stress incontinent women. Obstet Gynecol. 1994;84:583–6.
Jackson SR, Avery NC, Tarilton JF, Eckford SK, Abrams P, Bailey AJ. Changes in metabolism of collagen in genitourinary prolapse. Lancet. 1996;347:1658–61.
Keane DP, Sims TJ, Abrams P, Bailey AJ. Analysis of collagen status in premenopausal nulliparous women with genuine stress incontinence. Br J Obstet Gynaecol. 1997;104:994–8.
Marfan MA. Un cas de deformation congenitale des quatre membres, plus prononcee aux extremities, caracterisee par l’allongement des os avec un certain degre d’eminicissement. Bull Mem Soc Med Hos Paris. 1896;13:220–6.
Beighton P, de Paepe A, Danks K, Finidori G, Gedde-Dahl T, Goodman R, et al. International nosology of heritable disorders of connective tissue. Am J Med Genet. 1988;53:46–54.
Dietz HC, Pyeritz RE. Mutations in human gene for fibrillin-1 (FBN-1) in Marfan syndrome and related disorders. Hum Mol Genet. 1995;4:1799–809.
Strohbehn K, Jakary JA, Delancey JOL. Pelvic organ prolapse in young women. Obstet Gynecol. 1997;90:33–6.
Jackson S, Donavan J, Brookes S, Eckford S, Swithinbank L, Abrams P. The Bristol female lower urinary tract symptoms questionnaire: development and psychometric testing. Br J Urol. 1996;77:805–12.
Beighton PH, Solomon L, Soskolne CL. Articular mobility in an African population. Ann Rheum Dis. 1973;32:413–8.
Hempel C, Wienhold D, Denker N, Eggersmann C, Thuroff JW. Definition of overactive bladder and epidemiology of urinary incontinence. Urology. 1997;50(Suppl 6A):4–14.
Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JOL, Klarskov P, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10–7.
Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89:501–6.
Samuelsson EC, Victor FTA, Tibblin G, Svardsudd KF. Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors. Am J Obstet Gynecol. 1999;180:299–305.
Black NA, Downs SH. The effectiveness of surgery for stress incontinence in women: a systematic review. Br J Urol. 1996;78:497–510.
Leach GE, Dmochowski RR, Appell RA, Blaivas JG, Hadley HR, Luber KM, et al. Female stress urinary incontinence clinical guidelines panel summary report on surgical management of female stress urinary incontinence. J Urol. 1997;158:875–80.
McLaren M, Bridges AB, Gray JR, Tamei H, Belch JJF. Endothelial cell and platelet function in Marfan syndrome. Endothelium. 1993;1:203–7.
Silverman DI, Burton KJ, Gray J, Bosner MS, Kouchoukos NT, Roman MJ, Boxer M, Devereux RB, Tsipouras P. Life expectancy in the Marfan syndrome. Am J Cardiol. 1995;75(2):157–60.
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© 2016 Springer-Verlag London
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Jabs, C., Child, A.H. (2016). Genitourinary Tract in Women with Marfan Syndrome. In: Child, A. (eds) Diagnosis and Management of Marfan Syndrome. Springer, London. https://doi.org/10.1007/978-1-4471-5442-6_20
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DOI: https://doi.org/10.1007/978-1-4471-5442-6_20
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