Abstract
Decisive for urethral closure under stress is an increase in intraurethral pressure. This pressure increase is significantly affected by urethral tonus, passive pressure transmission and reflex pressure transmission. Approximately half of the urethral tonus is produced by the striated sphincter muscles (Rud et al. 1981; Tanagho 1979).
This is a preview of subscription content, log in via an institution to check access.
Preview
Unable to display preview. Download preview PDF.
References
Asmussen M, Ulmsten U (1983) On the physiology of continence and pathophysiology of stress incontinence in the female. Contrib Gynecol Obstet 10: 32
Bruschini H, Schmidt RA, Tanagho EA (1977) Effect of urethral stretch on urethral pressure profile. Invest Urol 15: 107
Bunne G, Öbrink A (1978) Urethral closure pressure with stress — A comparison between stress incontinent and continent women. Urol Res 6: 127
Constantinou CE, Govan DE (1981) Contribution and timing of transmitted and generated pressure components in the female urethra. In: Zinner NR, Sterling A (eds) Female incontinence. Alan R Liss, New York, p 113
Constantinou CE, Govan DE (1982) Spatial distribution and timing of transmitted and reflexly generated urethral pressure in healthy women. J Urol 127: 964
Drouin G, McCurry EM (1970) Catheters for studies of urinary tract pressure. Invest Urol 8: 195
Enhörning G (1961) Simultaneous recording of the intravesical and intraurethral pressure. Acta Chir Scand Suppl 276
Gosling J (1979) The structure of the bladder and urethra in relation to function. Urol Clin North Am 6: 31
Graber P, Laurent G, Tanagho EA (1974) Effect of abdominal pressure rise on the urethral profile. An experimental study on dogs. Invest Urol 12: 57
Heidler H, Jonas U, Petri E (1979) Urethral closure mechanism under stress conditions. Eur Urol 5: 110
James ED (1976) Transmission of abdominal pressure to bladder and urethra. Proc 6th Annual Meeting Int Continence Soc, Antwerpen
Jonas U, Tanagho EA (1975) Studies on vesicourethral reflexes. I. Urethral sphincteric responses to detrusor stretch. Invest Urol 12: 357
Jonas U, Tanagho EA (1976) Studies on vesicourethral reflexes. II. Urethral sphincteric responses to spinal cord stimulation. Invest Urol 13: 278
Lapides J, Ajemian EP, Stewart BH, Breakey BA, Lichtwardt JR (1960) Further observations on the kinetics of the urethrovesical sphincter. J Urol 84: 86
Miller (1964) Anatomy of the dog. Saunders, Philadelphia
Nobuo Koinuma, Seigi Tsuchida, Osamu Nishizawa, Itaru Moriya, Ikuo Wada, Kenichi Ebina (1981) Urethral responses to nerve stimulation measured by strain-gauge force transducer. Proc 11th Annual Meeting Int Continence Soc, Lund
Öbrink A, Bunne G, Ingelman-Sundberg A (1978) Pressure transmission to the pre-urethral space in stress incontinence. Urol Res 6: 135
Rud T (1981) The striated pelvic floor muscles and their importance in maintaining urinary continence. In: Zinner NR, Sterling A (eds) Female incontinence. Alan R Liss, New York, p 79
Rud T, Andersson KE, Asmussen M, Hunting A, Ulmsten U (1980) Factors maintaining the intraurethral pressure in women. Invest Urol 17: 343
Tanagho EA (1979) Urodynamics of female urinary incontinence with emphasis on stress inconti-nence. J Urol 122: 200
Tanagho EA, Meyers FH, Smith DR (1969) Urethral resistance: its components and implications. I. Smooth muscle component. Invest Urol 7: 136
Thüroff JW, Bazeed MA, Schmidt RA, Tanagho EA (1982) Mechanisms of urinary continence: An animal model to study urethral responses to stress conditions. J Urol 127: 1202
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1987 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Heidler, H., Casper, F., Thüroff, J.W. (1987). The Role of Striated Sphincter Muscle in Urethral Closure Under Stress Conditions: An Experimental Study. In: Jacobi, G.H., Rübben, H., Harzmann, R. (eds) Investigative Urology 2. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72735-1_21
Download citation
DOI: https://doi.org/10.1007/978-3-642-72735-1_21
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-72737-5
Online ISBN: 978-3-642-72735-1
eBook Packages: Springer Book Archive