Korean J Urol.
1995 Mar;36(3):311-315.
Role of Transvaginal Ultrasonography in Stress Urinary Incontinence
- Affiliations
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- 1Department of Urology, College of Medicine, Hallym University, Seoul, Korea.
- 2Department of Gynecology, College of Medicine, Hallym University, Seoul, Korea.
- 3Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.
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.
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