urethral hypermobility

[aspiringmd1015]

a/c to google, its associated with a failure of the urethra to close? can anyone explain a little on what this means and how it leads to stress incontinence.

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[dfib slim]

In a normal female intra-abdominal pressure is transmitted to both the bladder and urethra. A cough or sneeze wouldn't cause urinary leakage due to the urethra being pinched. In a multiparous female the urethra becomes hypermobile and now the intra-abdominal pressure is only transmitted to the bladder leading to urinary leakage with coughing/sneezing. A question might mention a positive Qtip test. Movement of the Qtip of more than 30-degrees with straining indicates urethral hypermobility

 

[Pholston]

slimdefibrillator, looks like you are preparing for Step 2 CK now.

 

[dfib slim]

slimdefibrillator, looks like you are preparing for Step 2 CK now.

3 weeks till show time

 

[Pholston]

3 weeks till show time

Those ObGyn videos by Dr Sakala are golden.
Good luck!

 

[aspiringmd1015]

In a normal female intra-abdominal pressure is transmitted to both the bladder and urethra. A cough or sneeze wouldn't cause urinary leakage due to the urethra being pinched. In a multiparous female the urethra becomes hypermobile and now the intra-abdominal pressure is only transmitted to the bladder leading to urinary leakage with coughing/sneezing. A question might mention a positive Qtip test. Movement of the Qtip of more than 30-degrees with straining indicates urethral hypermobility

nice diagram. and the urethra becomes hypermobile due to laxiity of the uroG diaphragm?

 

[dfib slim]

nice diagram. and the urethra becomes hypermobile due to laxiity of the uroG diaphragm?

yup