Role of Transvaginal Ultrasonography in Stress Urinary Incontinence.
- Author:
Hyun Seok CHANG
1
;
Myung Soo CHOO
;
Poong Gyu LEE
;
Sung Joo KIM
;
Man Chul PARK
;
Nak Gyu CHOI
Author Information
1. Department of Urology, College of Medicine, Hallym University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Ultrasonography;
Stress incontinence
- MeSH:
Diagnosis;
Female;
Humans;
Neck;
Pubic Symphysis;
Ultrasonography*;
Urinary Bladder;
Urinary Incontinence*
- From:Korean Journal of Urology
1995;36(3):311-315
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hypermobility of the bladder neck in response to increased intraabdominal pressure is the anatomical cause of female stress urinary incontinence ( SUI) and the degree of bladder neck movement has been used to classify SUI patients and to guide management decisions. We performed transvaginal ultrasonography in 14 SUI patients and 20 normal female as control to assess its role on the demonstration of the anatomical features associated with SUI. We adopted three anatomical factors in the sagittal plane which affect the bladder neck mobility , vertical (JY) and horizontal(JX) distance difference between pubic symphysis and bladder neck, and rotation angle difference(JZ) composed of by pubic symphysis and bladder neck during rest and stress states. There were significant differences in Y and Z between the two groups. Three months after corrective surgery for SUI these two factors showed significant improvement in all patients. It could be concluded that transvaginal ultrasonography is a safe and reliable method to diagnosis and evaluate the postoperative outcome for SUI.
