Transvaginal sonography in the evaluation of urinary stress incontinence

• Published in: Gynecology, obstetrics & reproductive medicine : GORM Vol. 3; no. 3; pp. 436 - 438
• Main Authors: TURAN, Y. Hakan, VARDAR, Gülşen, CENGİZ, Bora, SALİH, Mustafa, KURTAY, Gülay, GÜNGÖR, Mete
• Format: Journal Article
• Language: English
• Published: MEBAS Medikal Basın 1997
• ISSN: 1300-4751

OBJECTIVE: Our purpose was to evaluate the role of transvaginal ultrasonography (TVS) in diagnosis of genuine stress incontinence (GSI). METHODS: 33 female patients with the symptom of stress urinary incontinence were diagnosed as genuine stress incontinence based on multichannel urodynamic studies. 17 women with no urinary incontinence were included to the study as control group. Transvaginal ultrasonography was performed in both groups to evaluate the role of this technique in diagnosis of genuine stress incontinence . The drop in the urethrovesical junction (UVJ) and posterior urethrovesical (PUV) angle on straining was measured and compared in both groups. A drop in the urethrovesical junction on straining of > 1 cm and the PUV angle at strain condition of > 120 were considered consistent with poor anatomical support to the urethrovesical junction .Statistical analyses were done with Student's t-test. . RESULTS: Urethrovesical junction descent more than 1 cm and posterior urethrovesical angle (PUV) more than 120 degrees on straining as assessed by transvaginal ultrasound correlated with poor support to bladder neck and stress urinary incontinence and UVJ drop of less than 1 cm and PUV angle less than 120 degrees on straining correlated well with good support to the UVJ. CONCLUSIONS: Ultrasonography provides comparable information of diagnoses and measurements of bladder neck hypermobility. TVS is a reliable, practical, easily repetative and acceptable method to the patient for visualization of the bladder neck anatomy. (Gynecol Obstet Reprod Med 1997; 3:436-438)