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Influence of the urine stream interruption exercise on micturition.
Int J Urol 2019IJ

Abstract

OBJECTIVES

To assess the effect of urine stream interruption exercise on micturition.

METHODS

This study was conducted prospectively in female patients without urinary disorders. Two uroflowmetries were performed: one during a usual micturition and one during an exercise of urine stream interruption. For the urine stream interruption exercise the subject was asked to begin the micturition, to stop it at 3 s, when the stream is interrupted, to start voiding again, then again stop it at 3 s and repeat this manoeuvre until the end of the micturition.

RESULTS

Twenty female patients (mean age 38.7 years old, SD 12.3) were included. Post void residual volume was higher after the urine stream interruption micturition (mean 36.7 mL, SD 46.6) than during standard micturition (mean 8.2 mL, SD 24.1) (P = 0.02). During normal voiding, the maximal flow rate was higher (26.9 mL/min vs 17.8 mL/min; P < 0.0001). There was no difference concerning neither the voiding volume nor the slope of ascending part of flow curve. During urine stream interruption micturition, the flow rate slope, the voiding volume and the maximal flow rate by voiding sequence were decreasing as the voiding sequences followed each other.

CONCLUSIONS

Urine stream interruption increases the post-void residual volume and translates into less efficient micturition. Thus, it should not be used in current practice of pelvic floor muscles training.

Authors+Show Affiliations

GRC 001, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, Sorbonne Université, Paris, France.GRC 001, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, Sorbonne Université, Paris, France.GRC 001, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, Sorbonne Université, Paris, France.GRC 001, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, Sorbonne Université, Paris, France.GRC 001, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, Sorbonne Université, Paris, France.GRC 001, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, Sorbonne Université, Paris, France.GRC 001, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, Sorbonne Université, Paris, France.GRC 001, GREEN Groupe de Recherche Clinique en Neuro-Urologie, AP-HP, Hôpital Tenon, Sorbonne Université, Paris, France.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31522468

Citation

Chesnel, Camille, et al. "Influence of the Urine Stream Interruption Exercise On Micturition." International Journal of Urology : Official Journal of the Japanese Urological Association, 2019.
Chesnel C, Charlanes A, Tan E, et al. Influence of the urine stream interruption exercise on micturition. Int J Urol. 2019.
Chesnel, C., Charlanes, A., Tan, E., Turmel, N., Breton, F. L., Ismael, S. S., ... Amarenco, G. (2019). Influence of the urine stream interruption exercise on micturition. International Journal of Urology : Official Journal of the Japanese Urological Association, doi:10.1111/iju.14092.
Chesnel C, et al. Influence of the Urine Stream Interruption Exercise On Micturition. Int J Urol. 2019 Sep 14; PubMed PMID: 31522468.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influence of the urine stream interruption exercise on micturition. AU - Chesnel,Camille, AU - Charlanes,Audrey, AU - Tan,Eliane, AU - Turmel,Nicolas, AU - Breton,Frédérique Le, AU - Ismael,Samer Sheikh, AU - Hentzen,Claire, AU - Amarenco,Gérard, Y1 - 2019/09/14/ PY - 2019/04/10/received PY - 2019/07/25/accepted PY - 2019/9/16/entrez PY - 2019/9/16/pubmed PY - 2019/9/16/medline KW - pelvic floor muscle training KW - pelvic floor rehabilitation KW - stress urinary incontinence KW - urinary incontinence KW - urine stream interruption exercises JF - International journal of urology : official journal of the Japanese Urological Association JO - Int. J. Urol. N2 - OBJECTIVES: To assess the effect of urine stream interruption exercise on micturition. METHODS: This study was conducted prospectively in female patients without urinary disorders. Two uroflowmetries were performed: one during a usual micturition and one during an exercise of urine stream interruption. For the urine stream interruption exercise the subject was asked to begin the micturition, to stop it at 3 s, when the stream is interrupted, to start voiding again, then again stop it at 3 s and repeat this manoeuvre until the end of the micturition. RESULTS: Twenty female patients (mean age 38.7 years old, SD 12.3) were included. Post void residual volume was higher after the urine stream interruption micturition (mean 36.7 mL, SD 46.6) than during standard micturition (mean 8.2 mL, SD 24.1) (P = 0.02). During normal voiding, the maximal flow rate was higher (26.9 mL/min vs 17.8 mL/min; P < 0.0001). There was no difference concerning neither the voiding volume nor the slope of ascending part of flow curve. During urine stream interruption micturition, the flow rate slope, the voiding volume and the maximal flow rate by voiding sequence were decreasing as the voiding sequences followed each other. CONCLUSIONS: Urine stream interruption increases the post-void residual volume and translates into less efficient micturition. Thus, it should not be used in current practice of pelvic floor muscles training. SN - 1442-2042 UR - https://www.unboundmedicine.com/medline/citation/31522468/Influence_of_the_urine_stream_interruption_exercise_on_micturition L2 - https://doi.org/10.1111/iju.14092 DB - PRIME DP - Unbound Medicine ER -