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Asbestos fibres and the environment.

also does not help in this respect and a pressure flow study of micturition is mandatory. The urethral pressure profile is helpful in its indication of the maximum pressure exerted by the urethral sphincter; however, the results vary widely in both males and females and the two sexes should not be compared as the functional anatomy is completely different.2 The comment in relation to table V (p 1103, para 4) that four of the unstable bladders demonstrated a pressure rise to below 13 cm H2O appears to ignore the basic standards of the International College of Surgeons, which accepts a 15 cm H2O pressure rise as being necessary prior to a diagnosis of instability. The definition of bladder atonicity also seems rather all-encompassing. Bladders with large capacities may empty effectively. Large residuals certainly occur with both high pressure and low pressure outflow obstruction and also with decompensation of the detrusor in the absence of obstruction.