British Journal of Urology · 1985 · 227 citations · 17 references
MedicineSurgeryUrologyFemale UrologyNeurourologyUrologic SurgeryLower Urinary Tract NeurophysiologyNeurogenic Bladder DysfunctionNeurogenic Lower Urinary Tract DysfunctionUrethral FunctionUrinary ContinenceUrinary IncontinenceElectrophysiological MeasurementElectrophysiological RecordingsPerineal InnervationPudendal Nerve FunctionStress Urinary Incontinence SurgeryStriated Urethral SphincterUrethral InnervationUrinary Incontinence Neurophysiology
Twelve patients with genuine stress incontinence of urine were investigated using manometric and electrophysiological techniques. All were shown to have slowed conduction in the perineal branch of the pudendal nerve which innervates the periurethral striated sphincter muscle. The mean perineal nerve terminal motor latency in these patients was 3.9 +/- 0.8 (ms) and in 20 age and parity matched control subjects was 2.0 +/- 0.2 (ms) (P less than 0.001). These results are consistent with a neurogenic factor in patients with genuine stress incontinence of urine which may have implications regarding selection of patients for surgery to restore urethral competence.
17
INJURY TO INNERVATION OF PELVIC FLOOR SPHINCTER MUSCULATURE IN CHILDBIRTH
S. J. Snooks, Michael Swash, M. E. Setchell et al. · The Lancet · 1984 · 854 citations
Medicine, Anatomy, Obstetrics +10
Sphincter denervation in anorectal incontinence and rectal prolapse.
A G Parks, Michael Swash, H Urich · Gut · 1977 · 552 citations · Full text