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01.03.2011 | Original Article

Pubococcygeal activity on perineal ultrasound in incontinent women

verfasst von: Mara de Abreu Etienne, André Lima de Oliveira, Silvia da Silva Carramão, José Rafael Macea, Tsutomu Aoki, Antonio Pedro Flores Auge

Erschienen in: International Urogynecology Journal | Ausgabe 3/2011

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Abstract

Introduction and hypothesis

The aim of this study was to investigate the applicability and reproducibility of perineal ultrasound (US) in the evaluation of the pubococcygeal muscle (PCM) activity in urinary incontinent women.

Methods

Thirty women were assessed twice by two examiners who measured the angle between the lateral bundles of the PCM. The 2D US on coronal view evaluated the PCM performance during squeezing, straining, and resting.

Results

There was significant correlation (p ≤ 0.001) in all measurements to both examiners, except for the contraction on their second assessment. The images showed asymmetries of muscle volume and activity. Five women (16.7%) had difficulty to rest after squeezing or straining, six (20%) first opened the muscle bundles when asked to squeeze them, and eight (26.7%) had no movement during different moments.

Conclusions

The 2D perineal US on coronal view is useful to evaluate PCM activity. It is easily applicable and reproducible.

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Titel: Pubococcygeal activity on perineal ultrasound in incontinent women
verfasst von: Mara de Abreu Etienne
André Lima de Oliveira
Silvia da Silva Carramão
José Rafael Macea
Tsutomu Aoki
Antonio Pedro Flores Auge
Publikationsdatum: 01.03.2011
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 3/2011
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1251-9

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Pubococcygeal activity on perineal ultrasound in incontinent women