Abstract
Thirty-eight incontinent and 57 continent patients who had undergone MMK urethropexy and anterior colporrhaphy procedures were examined by perineal ultrasonography. Bladder neck hypermobility was described with ventrodorsal and cephalocaudal directional parameters.
In the incontinent patients both cephalocaudal and ventrodorsal mobilities were found to be significantly greater compared to the continent groups, the latter ultrasonographic parameter being relatively more significant (P<0.01 and P<0.001, respectively).
In surgically cured patients who underwent the MMK procedure both ventrodorsal and cephalocaudal mobility had been significantly limited in contrast to their incontinent counterparts; but these differences had been detected only in ventrodorsal mobility by the anterior colporrhaphy procedure.
Similar content being viewed by others
References
Fantl, J. A., Beachley, M. C., Bosch, H. A.: Bead-chain cystourethrogram. An evaluation.Obstet. Gynecol., 58, 237 (1981).
Greenwald, S. W., Tharnbury, J. R., Dunn, L. J.: Cystourethrography as a diagnostic aid in stress incontinence.Obstet. Gynecol., 29, 324 (1967).
Grischke, E. M., Anton, H., Stolz, W.: Urodynamic assessment and lateral urethrocystography.Acta Obstet. Gynecol. Scand., 70, 225 (1991).
Hodgkinson, C. P., Daub, H. P., Kelly, W. T.: Urethrocystogram: Metallic bead chain technique.Obstet. Gynecol., 1, 1668 (1958).
Stanton, S. I.: Radiology. In: Clinical Gynecologic Urology. Mosby, St. Louis-toronto 1984, p. 82.
Urinary Incontinence Guideline Panel. Urinary incontinence in adults: Clinical practice guideline. AHCPR publication no. 92-0038. Rockville, Maryland: Agency for Health Care Policy and Research, Public Health Service, United States Department of Health and Human Services, 53 (1992).
Ramon, J., Mekras, J. A. and Webster, G. D.: The outcome of transvaginal cystourethropexy in patients with anatomical stress urinary incontinence and outlet weakness.J. Urol., 144, 106 (1990).
Blaivas, J. G. and Olsson, C. A.: Stress incontinence: Classification and surgical approach.J. Urol., 139, 727 (1988).
Lam, T. C., Hadley, H. R.: Surgical procedures for uncomplicated (“routine”), female stress incontinence.Urol. Clin. North Am., 18/2, 327 (1991).
Wiskind, A. K., Miller, K. F., and Wall, L. L., Phil, D.: One hundred unstable bladders.Obstet. Gynecol., 83, 108 (1994).
Caputo, R. M., Beson, J. T.: The Q-tip test and urethrovesical junction mobility.Obstet. Gynecol., 82, 892 (1993).
Kohorn, E. I., Scioscia, A. L., Jeanty, P., Hobbins, J. C.: Ultrasound cystourethrography by perineal scanning for the assessment of female stress urinary incontinence.Obstet. Gynecol., 68, 269 (1986).
Kolbl, H., Bernashcek, G., Wolf, G.: A comparative study of perineal ultrasound scanning and urethrocystography in patients with genuine stress incontinence.Arch. Gynecol. Obstet., 244, 39 (1988).
Bergman, A., Ballard, C. A., and Platt, L. D.: Ultrasonic evaluation of urethrovesical junction in women with stress urinary incontinence.JCU, 16, 295 (1988).
Richmond, D. H., Sutherst, J. R.: Clinical application of transrectal ultrasound for the investigation of the incontinent patient.Br. J. Urol., 63, 605 (1989).
Quinn, M. J., Beynon, J., Mortensen, N. J.: Transvaginal endosonography. A new method to study the anatomy of the lower urinary tract in urinary stress incontinence.Br. J. Urol., 61, 414 (1988).
Mouritsen, L., and Rasmussen, A.: Bladder neck mobility evaluated by vaginal ultrasonography.Br. J. Urol., 71, 66 (1993).
Weil, E. H. J., E. S. C., Van Waalwijk, Van Doorn, E. S. C., Heesakkers, J. P. F. A.: Transvaginal Ultrasonography: A study with healthy volunteers and women with genuine stress incontinence.Eur. Urol., 24, 226 (1993).
Hochuli, E.: Die “Streßinkontinenz”. Ein kritischer Beitrag zur Diagnose und Therapie.Geburtsh. u. Frauenheilkd., 43, 69 (1983).
Gordon, D., Pearche, M., Preggy, N., Stanton, S.: Comparison of ultrasound and lateral chain urethrocystography in the determination of bladder neck descent.Am. J. Obstet. Gynecol., 160, 182 (1989).
International Continence Society. First, second and third report on the standardization of terminology of lower urinary tract function.Br. J. Urol., 48, 39;49, 207;25, 348 (1976/78/80).
Zacharin, R. F.: Pelvic floor anatomy and surgery of pulsion enterocele. Springer Verlag, New York 1985.
Hodgkinson, C. P.: “Recurrent” stress urinary incontinence.Am. J. Obstet. Gynecol., 132, 844 (1978).
Nichols, D. H.: Effects of pelvic relaxation on gynecologic urologic problems.Obstet. Gynecol., 21, 759 (1978).
Enhorning, G. E.: Simultaneous recording of intravesical and intraurethral pressure.Acta Clin. Scand., 276 (suppl.), 1 (1961).
Beck, R. P., Mc Cormick, R. N., and Nordstrom, N.: Intraurethral-intravesical coughpressure spike differences in 267 patients surgically cured of genuine, stress incontinence of urine.Obstet. Gynecol., 72, 302 (1988).
Low, J. A.: Management of anatomic urinary incontinence by vaginal repair.Am. J. Obstet. Gynecol., 97, 308 (1967).
Stanton, S. L., Cardozo, L. D.: Comparison of vaginal and suprapubic surgery for the correction of incontinence due to urethral sphincter incompetence.Br. J. Urol, 51, 497 (1979).
Reyes, W. A. H., Bischoff, P., Rottenberg, R. D., Krauer, F.: Modifications of the urethral rest and stress profiles after different types of surgery for urinary stress incontinence.Br. J. Obstet. Gynaecol., 91, 46 (1984).
Green, T. H. Jr.: Urinary stress incontinence: Differential diagnosis, pathophysiology and management.Am. J. Obstet. Gynecol., 122, 368 (1975).
Hodgkinson, C. P.: Stress urinary incontinence.Am. J. Obstet. Gynecol., 108, 1141 (1970).
Beck, R. P., Mc Cormick, S.: Treatment of urinary stress incontinence with anterior colporrhaphy.Obstet. Gynecol., 59, 269 (1982).
Jeffoate, T. N. A., Roberts, H.: Stress incontinence of urine.J. Obstet. Gynaecol. Br. Emp., 59, 685 (1952).
Hodgkinson, C. P.: Recurrent stress incontinence.Am. J. Obstet. Gynecol., 132, 844 (1978).
Stanton, S. L., Chamberlain, G. V. P., Holmes, D. M.: Randomised study of the anterior repair and colposuspension operation in the control of genuine stress incontinence. Proceedings of the 15th Annual Meeting of the International Continence Society, London, September 3, 1985.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Demirci, F., Kuyumcuoğlu, U., Kekovali, M. et al. Perineal ultrasonography in postoperative assessment of two different surgical procedures for stress urinary incontinence. International Urology and Nephrology 27, 279–287 (1995). https://doi.org/10.1007/BF02564763
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02564763