Colpocystography in cases of genital prolapse and urinary stress incontinence in women

Lazarevski, M; Lazarov, A; Novák, Jan; Dimcevski, D

doi:10.1016/0002-9378(75)90575-x

Cited by 9 publications

(3 citation statements)

References 9 publications

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“…Furthermore we agree with Bethoux et al (5) who, on the basis of colpocystograms, describe 2 bladder suspension defects: type A that leaves the vagina unaffected, and type P that produces a distal bulge of the anterior vaginal wall, but no alteration in vaginal position. Lazarevski et al (15) confirm these findings and conclude that the 2 types, A and P, correspond to Green's types I and 11.…”

Section: Discussionsupporting

confidence: 69%

Bladder Base Insufficiency: Radiological, Urodynamic, and Clinical Aspects

Olesen

Walter

1978

Acta Obstet Gynecol Scand

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Among 420 consecutive patients referred for voiding cystourethrography 26% presented the picture of bladder base insufficiency (b.b.i.). The examination was carried out as a colpo-cysto-urethrography. A urodynamic and gynecological examination was performed in each patient. The characteristic morphological features were: Anterior and inferior displacement of the bladder neck and a pointed bladder base. The position and form of the vagina was normal. Radiological signs of detrusor function were weak and opening of the bladder neck was characterized by funneling. Urodynamically the patients with b.b.i. showed low opening and low detrusor contraction pressures. The flows were highly varying. Very high flows were seen in a few patients but the more common pattern was slightly reduced maximum flow rates. Opening of the internal urethral orifice is known to be caused by detrusor contraction. Closing is passive, caused by elastic properties in the tissues. In b.b.i. intravesical pressures during micturition were low and radiological signs of detrusor contraction were weak, indicating that the bladder neck was easily opened. This, on the other hand, means that the bladder neck was insufficiently closed during bladder reservoir function, and may explain the main symptom, stress incontinence, which was present in 84% of the patients. The underlying pathology in anatomical support and suspension of the bladder base is discussed.

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Section: Discussionsupporting

confidence: 69%

Bladder Base Insufficiency: Radiological, Urodynamic, and Clinical Aspects

Olesen

Walter

1978

Acta Obstet Gynecol Scand

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“…Previous studies have reported radiographic examination of the pelvis in women with prolapse, especially women with stress urinary incontinence [11,15,16]. It has also been used to study the depth and axis of the normal vagina [17,18], as well as genital prolapse [19,20] and enterocele [21]. Bethoux [19] and Lazarevski [20] have both made extensive radiographic studies of genital prolapse, and have demonstrated the ease with which the pelvic organs can be visualized.…”

Section: Discussionmentioning

confidence: 99%

“…It has also been used to study the depth and axis of the normal vagina [17,18], as well as genital prolapse [19,20] and enterocele [21]. Bethoux [19] and Lazarevski [20] have both made extensive radiographic studies of genital prolapse, and have demonstrated the ease with which the pelvic organs can be visualized. These previous studies have defined the topographic changes that have occurred in the pelvic organs.…”

Section: Discussionmentioning

confidence: 99%

Vaginographic examination of the pelvic floor

DeLancey

1994

Int Urogynecol J

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In women with genital prolapse, damage to the pelvic floor muscles, fasciae, and ligaments leads to characteristic changes in the shape and position of the vagina. This observational study was undertaken to determine how these changes can be used to document damage to individual pelvic floor structures. Resting and straining radiographs in the standing position with barium in the vagina were made of 23 women with normal and 31 women with abnormal support, and correlated with anatomic studies of 23 cadavers. These studies demonstrate that the downward sagging of the upper vagina seen in frontal radiographs reflects a failure of the cardinal-uterosacral complex. Loss of the lateral indentations in the lower vagina indicates loss of the constricting effects of the levator ani. In lateral radiographs the levator plate's inclination can be measured. The distance between the pubic symphysis and anterior perineal body indicates ~the levator ani muscles' closure of the vagina. A line from the lower pubic symphysis to the ischial spine represents the location of the arcus tendineus fasciae pelvis. The distance between this line and the anterior vaginal wall indicates the status of the pubocervical fascia and its attachment to the arcus. With these observations, the vaginogram can be used to examine the status of the fascial and muscular supports of the vagina. It offers a research tool for the study of individual parts of the supportive system, and can be applied to such questions as the frequency of damage to muscles, fasciae or ligaments in recurrent prolapse.

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The risk of urinary stress incontinence after anterior repair

Borstad

1992

Int Urogynecol J

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Colpocystography in cases of genital prolapse and urinary stress incontinence in women

Cited by 9 publications

References 9 publications

Bladder Base Insufficiency: Radiological, Urodynamic, and Clinical Aspects

Bladder Base Insufficiency: Radiological, Urodynamic, and Clinical Aspects

Vaginographic examination of the pelvic floor

The risk of urinary stress incontinence after anterior repair

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