URETHROVESICAL MORPHOLOGY UNDER SPINAL-AN ESTHESIA IN CONTINENT WOMEN

Objective: To assess the influence of spinal anesthesia on bladder nec k position and a clinical stress test in continent women. Methods: In a prospective investigation, 14 women underwent urodynamic, sonographi c and clinical assessment during spinal anesthesia. Results were compa red to those obtained immediately preoperatively in the same patient. Results: During spinal anesthesia, the bladder neck was found to be lo cated significantly lower and more posterior, and in 4/7 parous patien ts (0/7 nullipara) the clinical stress test was positive. Conclusion: These data provide additional evidence for the importance of neuromusc ular function in the etioloy of pelvic floor dysfunction and genuine s tress incontinence.