Power Doppler of the urethra in continent or incontinent, pre- and postmenopausal women.

Urethral pressure should exceed bladder pressure, both at rest and on stress, for urinary continence to occur. A decrease in urethral pressure is a major factor explaining the pathogenesis of urinary incontinence. A number of elements, such as smooth and striated periurethral muscles, and connective, vascular and elastic tissues, contribute to urethral pressure. The periurethral vessels are influenced by hormonal changes during the menstrual cycle, during pregnancy and postmenopause. We studied the periurethral vessels in 97 women, 57 of whom were incontinent and 40 continent, using power color Doppler velocimetry. The number of periurethral vessels, systolic peak, minimum diastolic values, pulsatility and resistance indexes, as well as systolic-diastolic ratio, were assessed. Statistically significant differences were found between incontinent women in the premenopausal period and those in the postmenopausal period, regarding the number of periurethral vessels, systolic peak, minimum diastolic values, pulsatility and resistance indexes.

[Importance of development disorders detection in neonatal anoxia and physiotherapy intervention]. / Importância da detecção de patologias do desenvolvimento na anóxia neonatal e da intervenção fisioterápica.

The purpose of this study was to verify the neuropsychomotor development and the necessity of stimulation, correlating the neurological pathology diagnosis to the physiotherapeutic indication at the moment of hospital discharging. Cases studied were 27 patients with partial recovery and newborn anoxy diagnosis assisted in 1988 at the Newborn Intensive Care Unit of the University Hospital in Santa Maria-RS. The newborns were evaluated according to neuroevolutive approach during domiciliary visits to 10 patients. The results showed the necessity of physiotherapeutic intervention on cases of newborn anoxy.