Value of beaded-chain cystourethrogram in stress urinary incontinence

Lee, Sang Yeong; Shim, Bong Suck

Abstract

The role of chain cystourethrogram in the diagnosis of stress urinary incontinence (SUI) is still controversial. This study evaluates the diagnostic significance of beaded-chain cystourethrogram in 37 women with stress urinary incontinence and 18 continent women as control. The results were as follows: 1. In women with SUI, the degree of urinary incontinence was divided into three groups by Stamey classification: Grade I in 4 patients, grade III in 23 patients and Grade III in 10 patients. 2. The range of posterior urethrovesical angle was as follows: those of 2 cases (5.4%) of incontinent women and 2 cases (11.1%) of continent women were in the range of 90-100 degrees (normal) showed, those of 16 cases (45.2%) of incontinent women and 12 cases (66.7%) of continent women were in the range or 101-150 degrees. And those of 19 cases (51.4%) of incontinent women and 4 cases (22.2%) of continent women were in the range of 151-180 degrees (p>0.05). 3. The range of urethral inclination was as follows : those of 12 cases (32.4%) of incontinent women were abnormal (>45%). but those of all continent women were within normal range (p<0.05). Therefore. we concluded that urethral inclination was more specific rather than posterior urethrovesical angle in the diagnostic value of SUI using with beaded-chain cystourethrogram (p<0.05). but still beaded-chain cystourethrogram itself has limitations in the confirmatory diagnosis of the stress urinary incontinence (p>0.05).