Ultrasonography in stress urinary incontinence

Demirci, Fuat; Fine, Paul

doi:10.1007/bf01894200

Cited by 26 publications

(7 citation statements)

References 44 publications

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“…Similar results were reported by other studies. 4,17,18 TP ultrasonography showed significant difference between controls and incontinent women regarding alpha, beta angles and bladder neck descent during valsalva. 13 Another study found beta angle to be significantly wider in SUI patients, when compared to controls, both at rest and during straining, while, the alpha angle varied significantly only during valsalva.…”

Section: Discussionmentioning

confidence: 87%

Transperineal ultrasound evaluation of females with stress urinary incontinence

Sweed

Sharara

2016

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionmentioning

confidence: 87%

Transperineal ultrasound evaluation of females with stress urinary incontinence

Sweed

Sharara

2016

Int J Reprod Contracept Obstet Gynecol

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“…7 Hypermobility together with descent of the bladder neck and urethra are common imaging findings in GSI. [2][3][4][5][6] Impairment of pressure transmission to the bladder neck and proximal urethra was the corresponding manifestation in a functional study. 8 In addition, funneling (opening) of the bladder neck and development of cystocele (descent or herniation of the bladder base) during straining were also associated finings on ultrasonographic cystourethrography.…”

Section: Articlementioning

confidence: 98%

“…The ultrasonographic features in female LUTS have not been well addressed except genuine stress incontinence (GSI) [2][3][4][5][6] and detrusor instability (DI). 7 Hypermobility together with descent of the bladder neck and urethra are common imaging findings in GSI.…”

Section: Articlementioning

confidence: 99%

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Discrimination of Bladder Disorders in Female Lower Urinary Tract Symptoms on Ultrasonographic Cystourethrography

Yang

Huang

2002

Journal of Ultrasound in Medicine

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Objective. To evaluate morphologic features of bladder disorders in female lower urinary tract symptoms using ultrasonographic cystourethrography and to elucidate the anatomic association of these morphologic characteristics. Methods. Ultrasonographic cystourethrography was performed in 1049 women with lower urinary tract symptoms and 1 single urodynamic diagnosis, including 764 patients with genuine stress incontinence, 190 with detrusor instability, and 95 with a hypersensitive bladder. Thirty-six women with no lower urinary tract symptoms served as control subjects. Ultrasonographic assessment included measurement of the bladder neck position at rest and during stress and observation of the development of bladder neck funneling and cystocele during the Valsalva maneuver. Results. Hypersensitive bladder and control groups had a significantly higher bladder neck position at rest and during stress, a lesser rotational angle of the bladder neck, a lower prevalence of bladder neck funneling and cystocele formation, and lesser mean bladder wall thickness than the other diagnostic groups. In the study groups, age, parity, and menopause may have effects on the cystourethrographic parameters except rotational angle and funneling of the bladder neck. With control of the confounding factors, bladder wall thickness at the trigone and dome was negatively correlated with the resting bladder neck angle (P = .006 and 0.019, respectively). Bladder wall thickness at the dome was positively associated with the rotational angle of the bladder neck (P = .022). Funneling of the bladder neck and development of cystocele during stress were positively associated with the resting and straining bladder neck angles as well as the rotational angle of the bladder neck. Conclusions. Ultrasonographic manifestation of a hypersensitive bladder is significantly different from that of genuine stress incontinence and detrusor instability. Key words: lower urinary tract symptoms; ultrasonography; urodynamics. Abbreviations HB, hypersensitive bladder; DI, detrusor instability; GSI, genuine stress incontinence; LUTS, lower urinary tract symptoms emale lower urinary tract symptoms (LUTS) are present in a heterogeneous group of disorders with varied pathogenesis. Because urinary symptoms are diagnostically unreliable, 1 it is appropriate to use urodynamic investigation and imaging studies as an integral part of evaluation of lower urinary tract disorders. Currently, videocystourethrography is a tool that simultaneously offers both urodynamic and anatomic assessment of the lower urinary tract. However, it is not widely available because of its sophistication and concerns about radiation exposure. Ultrasonography, which is noninvasive, easily reproducible, and without radiation, has replaced radiologic methods in anatomic evaluation of the lower urinary tract. [2][3][4][5][6]

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“…Ultrasonography, whether introital, perineal, or transvaginal, is an easy, noninvasive modality that provides information on both mobility of the bladder neck and morphologic data of the bladder neck and proximal urethra [26][27][28][29].…”

Section: Discussionmentioning

confidence: 99%

The Link Between Female Obesity and Urinary Stress Incontinence

Soliman¹,

Eltatawy²,

Elhawary³

et al. 2011

UIJ

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Background: Stress urinary incontinence (SUI) has an observed prevalence of between 4 and 35%. Aging, obesity, and smoking have consistent causal relationships with the condition.Objective: To elucidate the relationship between obesity and urinary incontinence in women and a possible explanation of this relationship by ultrasound of the urethrovesical angle and bladder neck descent. , and it included 100 obese women compared to 100 normal-weight control women regarding symptoms of SUI, ultrasonographic examination of the bladder neck, and bladder neck descent during straining for the detection of SUI.Results: In the obese group, 70% of patients had symptoms of SUI, whereas in the normal-weight group, 17% of patients had symptoms of SUI, denoting a significant increase among the obese. Ultrasonographic examination revealed that in obese women, the urethrovesical angle is nearly at a right angle with an empty urinary bladder at rest and becomes obtuse at straining; but when the bladder was full, this angle became obtuse at rest and during straining. In normal-weight women, the urethrovesical angle was acute at rest and nearly at a right angle at straining while the bladder was empty, and it became a right angle with a full bladder at rest and slightly obtuse at straining with a full urinary bladder. In obese women, the average bladder neck descent during straining was 10 ± 3.5 mm compared with a mean of 3±1.2 mm in the normal weight group, with a significant difference between the 2 groups. Conclusion:Female obesity is an important risk factor for the occurrence of SUI.

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Ultrasonography in stress urinary incontinence

Cited by 26 publications

References 44 publications

Transperineal ultrasound evaluation of females with stress urinary incontinence

Transperineal ultrasound evaluation of females with stress urinary incontinence

Discrimination of Bladder Disorders in Female Lower Urinary Tract Symptoms on Ultrasonographic Cystourethrography

The Link Between Female Obesity and Urinary Stress Incontinence

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