<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852023000600001</article-id>
<article-id pub-id-type="doi">10.48193/brjphw80</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Effects on urethral maximum closing pressure during voluntary contraction of pelvic floor muscles in women]]></article-title>
<article-title xml:lang="es"><![CDATA[Efectos sobre la presión máxima de cierre uretral durante la contracción voluntaria de los músculos del suelo pélvico en mujeres]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Loya-Maldonado]]></surname>
<given-names><![CDATA[Karen Michelle]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-González]]></surname>
<given-names><![CDATA[Adrián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerrero-Reyes]]></surname>
<given-names><![CDATA[Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Velázquez]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pallárez-Méndez]]></surname>
<given-names><![CDATA[Rigoberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Robledo-Torres]]></surname>
<given-names><![CDATA[Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes-Alcaraz]]></surname>
<given-names><![CDATA[Jennifer Estefania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Treviño-Cavazos]]></surname>
<given-names><![CDATA[Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leyva-Vázquez]]></surname>
<given-names><![CDATA[José Ignacio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chávez-Loya]]></surname>
<given-names><![CDATA[Danahé Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico Nacional 20 de Noviembre Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma de Nuevo León Hospital Universitario Hospital &#8220;José Eleuterio González&#8221; ]]></institution>
<addr-line><![CDATA[Monterrey ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>83</volume>
<numero>6</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852023000600001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852023000600001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852023000600001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Pelvic floor muscle exercises represent voluntary contractions and relaxations of the levator ani muscles. This muscle group gives support to the vagina, bladder, and urethra. Urethral profilometry is a study that assesses the closing function of the urethral sphincter. There is limited scientific evidence regarding the changes in pressure values of the Maximum Urethral Closing Pressure (MUCP) during a voluntary contraction of the pelvic floor muscles (C-MUCP).  Objective:  During a urodynamic test, evaluate the change in MUCP at rest and during voluntary contraction after verbal command, in patients from two tertiary referral hospitals.  Material and methods:  Retrospective and cross-sectional study of two tertiary referral hospitals in Mexico. This study focused on reviewing hospital records of adult patients who underwent a urodynamic study from January 2016 to February 2022. Obstetric clinical history data and MUCP results at rest and in C-MUCP during urodynamics were taken. IBM SPSS Statistics version 22 statistical program was used.  Results:  928 patients with a mean age of 58 years were evaluated. Eighty three percent were postmenopausal women. An inverse relationship was observed between age and MUCP both at rest (p=&lt;0.001) and in C-MUCP (p=0.009). Neurogenic disease and postmenopausal status had no significant relationship with the ability to increase MUCP. Sixty five percent &#8203;&#8203;of the population achieved a clinically significant increase of the MUCP.  Conclusion:  There is a direct negative relationship between age, resting MUCP and C-MUCP. In patients with both neurogenic and non-neurogenic pathology, the rate of clinically significant increase in MUCP was low.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  Evaluar el cambio de la PMCU en reposo y durante contracción voluntaria de músculos de piso pélvico posterior a comando verbal durante urodinamia en pacientes de dos centros de referencia de tercer nivel.  Material y métodos:  Estudio retrospectivo y transversal, de dos centros de referencia nacional de tercer nivel, en México. Revisión de expedientes de pacientes adultas a las que se realizó estudio urodinámico desde enero 2016 a febrero 2022. Se tomaron datos de historia clínica obstétrica y resultados de PMCU en reposo y en contracción voluntaria durante urodinamia. Se utilizó programa estadístico IBM SPSS Statistics versión 22.  Resultados:  Se evaluaron 928 pacientes con una edad media de 58 años, de estas el 83% eran mujeres posmenopáusicas. Se observó una relación inversa entre la edad y PMCU tanto en reposo (p=&lt;0.001) como en contracción voluntaria (p=0.009). La enfermedad neurogénica y estado postmenopáusico no tuvieron relación significativa con la capacidad del incremento clínicamente significativo de PMCU. Solo el 65% de la población total logró un aumento clínicamente significativo.  Originalidad y valor:  Es un estudio original, con un grupo muy amplio de pacientes de dos centros de referencia de tercer nivel.  Limitaciones:  Estudio observacional donde se evaluó la presión Máxima de Cierre uretral sin hacer comparación de contracción voluntaria mediante exploración física.  Conclusión:  Existe relación negativa directa entre edad y PMCU reposo y contracción voluntaria. Tanto en pacientes neurogénicas como no neurogénicas la proporción de incremento clínicamente significativo de la PMCU fue baja.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Pelvic floor muscle exercises]]></kwd>
<kwd lng="en"><![CDATA[Kegel exercises]]></kwd>
<kwd lng="en"><![CDATA[pelvic floor]]></kwd>
<kwd lng="en"><![CDATA[maximum urethral closure pressure]]></kwd>
<kwd lng="en"><![CDATA[urodynamic study]]></kwd>
<kwd lng="es"><![CDATA[Ejercicios de piso pélvico]]></kwd>
<kwd lng="es"><![CDATA[ejercicios de Kegel]]></kwd>
<kwd lng="es"><![CDATA[Piso pélvico]]></kwd>
<kwd lng="es"><![CDATA[presión máxima de cierre uretral]]></kwd>
<kwd lng="es"><![CDATA[estudio urodinámico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dumoulin]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Cacciari]]></surname>
<given-names><![CDATA[LP]]></given-names>
</name>
<name>
<surname><![CDATA[Hay-Smith]]></surname>
<given-names><![CDATA[EJC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women]]></article-title>
<source><![CDATA[The Cochrane Database of Systematic Reviews]]></source>
<year>2018</year>
<volume>10</volume>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sheng]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Low]]></surname>
<given-names><![CDATA[LK]]></given-names>
</name>
<name>
<surname><![CDATA[Ashton-Miller]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Miller]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Association of pubovisceral muscle tear with functional capacity of urethral closure: evaluating maternal recovery from labor and delivery]]></article-title>
<source><![CDATA[American Journal of Obstetrics and Gynecology]]></source>
<year>2020</year>
<volume>222</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>598.e1-7</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Stothers]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Macnab]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The status of pelvic floor muscle training for women]]></article-title>
<source><![CDATA[Canadian Urological Association Journal = Journal De l&#8217;Association Des Urologues Du Canada]]></source>
<year>2010</year>
<volume>4</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>419-24</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kegel]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Progressive resistance exercise in the functional restoration of the perineal muscles]]></article-title>
<source><![CDATA[American Journal of Obstetrics and Gynecology]]></source>
<year>1948</year>
<volume>56</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>238-48</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dietz]]></surname>
<given-names><![CDATA[HP]]></given-names>
</name>
<name>
<surname><![CDATA[Shek]]></surname>
<given-names><![CDATA[KL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Levator function and voluntary augmentation of maximum urethral closure pressure]]></article-title>
<source><![CDATA[International Urogynecology Journal]]></source>
<year>2012</year>
<volume>23</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1035-40</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Basnet]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impact of pelvic floor muscle training in pelvic organ prolapse]]></article-title>
<source><![CDATA[International Urogynecology Journal]]></source>
<year>2021</year>
<volume>32</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1351-60</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zubieta]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Carr]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
<name>
<surname><![CDATA[Drake]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Bø]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Influence of voluntary pelvic floor muscle contraction and pelvic floor muscle training on urethral closure pressures: a systematic literature review]]></article-title>
<source><![CDATA[International Urogynecology Journal]]></source>
<year>2016</year>
<volume>27</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>687-96</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bø]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work?]]></article-title>
<source><![CDATA[International Urogynecology Journal and Pelvic Floor Dysfunction]]></source>
<year>2004</year>
<volume>15</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>76-84</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bump]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
<name>
<surname><![CDATA[Hurt]]></surname>
<given-names><![CDATA[WG]]></given-names>
</name>
<name>
<surname><![CDATA[Fantl]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Wyman]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Assessment of Kegel pelvic muscle exercise performance after brief verbal instruction]]></article-title>
<source><![CDATA[American Journal of Obstetrics and Gynecology]]></source>
<year>1991</year>
<volume>165</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>322-7</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[van Loenen]]></surname>
<given-names><![CDATA[NT]]></given-names>
</name>
<name>
<surname><![CDATA[Vierhout]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Augmentation of urethral pressure profile by voluntary pelvic floor contraction]]></article-title>
<source><![CDATA[International Urogynecology Journal and Pelvic Floor Dysfunction]]></source>
<year>1997</year>
<volume>8</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>284-7</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rosier]]></surname>
<given-names><![CDATA[PFWM]]></given-names>
</name>
<name>
<surname><![CDATA[Kuo]]></surname>
<given-names><![CDATA[HC]]></given-names>
</name>
<name>
<surname><![CDATA[De Gennaro]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gammie]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Finazzi Agro]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Kakizaki]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[International Consultation on Incontinence 2016; Executive summary: Urodynamic testing]]></article-title>
<source><![CDATA[Neurourology and Urodynamics]]></source>
<year>2019</year>
<volume>38</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>545-52</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Weber]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Is urethral pressure profilometry a useful diagnostic test for stress urinary incontinence?]]></article-title>
<source><![CDATA[Obstetrical &amp; Gynecological Survey]]></source>
<year>2001</year>
<volume>56</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>720-35</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dompeyre]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Fritel]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Fauconnier]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Robain]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Contraction des muscles du plancher pelvien et pression de clôture urétrale maximale]]></article-title>
<source><![CDATA[Progrès en Urologie]]></source>
<year>2015</year>
<volume>25</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>200-5</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
