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Comparative Mapping Of Vaginal And Urethral Closure: Contributary Role Of Pelvic Floor Muscles | 3444
ISSN: 2161-069X
Journal of Gastrointestinal & Digestive System
Open Access
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Anatomically the vagina and urethra are closely connected with the bowel by a complex group of pelvic floor muscles. Stress urinary
incontinence, SUI which affects a very large number of women, is determined my a number of contributory factors related to
pelvic floor function. Urethral function, a determinant of continence is evaluated urodynamically using the urethral pressure profile
measurement (UPP).
In this presentation, the parameters of the UPP will be presented in the context of the vaginal pressure profile (VPP). The intimate
connection between urethral and vaginal pressures are examined statically and dynamically in females with SUI and compared to
controls. The response of the anorectal junction and anal sphincter will be considered as these structures are related to urethral and
vaginal pressures. Dynamic SUI inducing events, such as coughing will be used to demonstrate the response of the gastrointestinal, and
urogenital tract.
Presentation will consider the impact, clinically important maneuvers such as pelvic floor precontraction as an SUI prevention
modality using measurements of vaginal and urethral pressures as these are transmitted within the pelvic cavity. Finally, the overall goal
is to provide a comprehensive view of the lower GI and GU system as these structures relate to important clinical problems.
Biography
Christos E. Constantinou completed his Ph.D. at Stanford University and continued as faculty in the Department of Urology where he was responsible
in organizing its first urodynamics laboratory. He worked as principal investigator in a number NIH projects involving the evaluation of pelvic floor
function, using ultrasound imaging and novel vaginal and urethral probes. He has published more than 145 papers and chapters in peer reviewed
journals, is currently Editor in Chief of the Open Journal of Obstetrics and Gynecology and is serving on the editorial board member of many other
journals.
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