Aortic occlusion and lower extremity exercise induced stress urinary incontinence.

Swierzewski, S J; McGuire, E J; Podrazik, R M; Stanley, J C · J Urol · 1993

case_report · Level V

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Abstract

An unusual case of intermittent stress urinary incontinence associated with lower extremity exercise in a patient with aortoiliac occlusive disease is reported. Preoperative noninvasive vascular testing revealed severe compromise of lower extremity and pelvic blood flow. Fluoroscopically guided preoperative urodynamic evaluation without exercise revealed a competent urethral sphincter mechanism that became incompetent following exercise sufficient to induce claudication. The claudication and exercise-induced incontinence resolved after aortobifemoral bypass, and postoperative urodynamic studies were normal.

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