[Psychology of urinary incontinence. I. Comparison of women with urgent and stress incontinence before initiation of therapy]. / Psychologie inkontinence moce. I. Srovnání zen s urgentní a stresovou inkontinencí pred zahájením terapie.

OBJECTIVE OF STUDY: Comparison of psychological characteristics of untreated female patients with urgent and stress urinary incontinence. DESIGN: First stage of a perspective comparative study. SETTING: Gynaecological and Obstetric Department of the Municipal Hospital Neratovice, Urogynaecological out-patient dept. of the Institute for Mother and Child in Prague-Podolí, the Urogynaecological out-patient dept. of the Gynaecological and Obstetric Clinic of the First Medical Faculty Charles University and General Faculty Hospital Prague. METHODS: The study compares a group of 54 patients with stress incontinence and a group of 16 patients with urgent incontinence. Before the onset of therapy the patients were examined by a series of psychodiagnostic tests: MMPI/100 (Minnesota Multiphasic Personality Inventory, abridged version), STAI (State-Trait Anxiety Inventory), SCL-90 (Symptom Check List), Lüscher's colour test, guided interview. For statistical evaluation the sign test and t-test were used. RESULTS: In the MMPI/100 and SCL-90 questionnaires a significant difference was found, i.e. a greater psychopathology in women with urgent incontinence (in both instances p < 0.01). The two groups did not differ in any single scale. STAI and the interview did not reveal any significant differences with the exception of greater importance of sexual contact in women with urgent incontinence (p < 0.05). CONCLUSION: In the group of women with urgent incontinence a higher non-specific psychopathology was proved as compared with women with stress incontinence.

[The effect of diazepam and flumazenil on pulsatile secretion of prolactin and LH in women]. / Vliv diazepamu a flumazenilu na pulsní sekreci prolaktinu a LH u zen.

The authors examined the effect of diazepam and flumazenil on prolactin and LH secretion in women. The experiment lasted 12 hours during which specimens of venous blood were collected for assessment of LH and prolactin after 10-minute intervals. After 5 hours to a group of 8 women (4 in the luteal and 4 in the follicular stage of the cycle) flumazenil was administered--3 x 10 mg i.v. after 30 minute intervals, and to a group of 7 women (3 in the follicular and 4 in the luteal stage of the cycle) diazepam was administered--10 mg i.v. after 30-minute intervals. Flumazenil administration did not affect the LH or prolactin secretion. Diazepam caused in 3 of 4 women in the luteal phase of the cycle a significant rise of the prolactin secretion (p < 0.001), in the remaining women in the luteal phase and 3 women in the follicular stage a rise of prolactin was recorded but it did not reach statistical significance. The LH level was significantly influenced (i.e. decreased) in one of 7 women.

Hypnocontraception effectivity tested.

The effectivity of hypnocontraception was tested in 23 women selected as the most suitable ones from 86 registered interested women. The method was based on experience of the Milanese authors, especially Professor Marchesan. The hypnocontraception was performed in eight sessions, the temporary sterility was suggested for six months with a possibility of prolongation for another six months. In the course of the study 14 out of the 23 treated women became pregnant, seven of them in the course of the first two months and twelve of them in the course of the first six months. The remaining 9 women did not get pregnant. Out of them six terminated the hypnocontraception after six months, one after 12 months and four continue up to now (7-22 months). Consequently, the effectivity of the procedure applied in this study has been shown as not sufficient to recommend its introduction as a current means of contraception in the general population.