Multiparametric Study of Transperineal Ultrasound in Evaluating Females With Stress Urinary Incontinence

Document Type : Original Article

Authors

1 Radio-diagnosis department, Faculty of Medicine, Beni-Suef University, Egypt

2 Radio-diagnosis department, Matay General hospital, Minia, Egypt.

Abstract

Background: Urinary stress incontinence (USI) is defined as involuntary leakage of urine. Two times as many women as men experience incontinence. To assess urinary incontinence and its subtypes, many investigations are used. The primary diagnostic imaging modality used for examining the lower urinary tract in cases diagnosed with urine leakage is transperineal ultrasonography. It has been demonstrated that it helps to increase the precision of morphological and functional abnormality when combined with the history, clinical examination, and urodynamics. Patients and methods: This case control study included two groups; 17 female complaining of  USI and 17 healthy  females  examined by trans-perineal ultrasonography. The difference of both α and β angles at rest and at stress as well as other urethral parameters. Results: The alpha and beta angles at stress and the difference between rest and stress (R alpha and R beta) were significantly higher in cases than controls. No detectable significant difference between both groups regarding alpha angle at rest & beta angle at rest. No appreciable significant difference between the study groups as regards the bladder wall, urethral length, width, Pubo-urethral distance at rest and at stress. Conclusion: Transperineal ultrasonography can assess stress incontinence by measuring different angles and other parameters. There were no difference between cases and controls during rest for both alpha and beta angles while a significant value showed up during stress. The other parameters showed no significant value between two groups.

Keywords

Main Subjects

References

  1. El-Zaatari, Z. M. & Ro, J. Y. (2021): Normal Anatomy and Histology of the Urinary Bladder with Pathologic Correlates, Urinary Bladder Pathology, pp. 7-20: Springer.
  2. Mangera, A., Osman, N. I. & Chapple, C. R. (2013): Anatomy of the lower urinary tract , Surgery 31, 319-325.
  3. Marieb, E. & Keller, S. (2017): Essentials of Human Anatomy & Physiology, Global Edition: Always Learning.
  4. Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN; International Urogynecological Association; International Continence Society.Neurourol Urodyn. 2010;29(1):4-20. doi: 10.1002/nau.20798.PMID: 19941278Review.
  5. Norton, P. & Brubaker, L. (2006): Urinary incontinence in women, The Lancet 367, 57-67.
  6. Al-Saadi, W. I. (2016): Transperineal ultrasonography in stress urinary incontinence: The significance of urethral rotation angles, Arab journal of urology 14, 66-71.
  7. Wahba, M. H., Abdelsayed, R. F. & Mahmoud, A. A. J. M. J. C. U. (2014): The Functional Role of Transperineal Ultrasound in the Evaluation of Females with Urinary Incontinence Compared to Urodynamic Studies, medical journal of cairo university 82, 231-237.
  8. Batmani, S., Jalali, R., Mohammadi, M., & Bokaee, S. (2021): Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies. BMC geriatrics, 21(1), 1-17.
  9. McNanley, A. R., Duecy, E. E. & Buchsbaum, G. M. (2010): Symptom-Based, Clinical, and Urodynamic Diagnoses of Urinary Incontinence, Female pelvic medicine & reconstructive surgery 16, 97-101.
  10. Aniuliene, R., Aniulis, P. & Steibliene, V. (2016): Risk Factors and Types of Urinary Incontinence among Middle-Aged and
    Older Male and Female Primary Care Patients in Kaunas Region of Lithuania: Cross Sectional Study Urology journal 13, 2551-2561.
  11. Keshavarz, E., Pouya, E. K., Rahimi, M., Bozorgan, T. J., Saleh, M., Tourzani, Z. M., Kabir, K. & Bakhtiyari, M. (2021): Prediction of Stress Urinary Incontinence Using the Retrovesical (β) Angle in Transperineal Ultrasound, Journal of Ultrasound in Medicine 40, 1485-1493.
  12. Li, Y.-Q., Geng, J., Tan, C., Tang, J. & Yang, X. (2017): Diagnosis and classification of female stress urinary incontinence by transperineal two-dimensional ultrasound, Technology Health Care 25, 859-866.
  13. Turkoglu, A., Coskun, A. D. E., Arinkan, S. A., & Vural, F. (2022): The role of transperineal ultrasound in the evaluation of stress urinary incontinence cases. International braz j urol, 48, 70-77.‏
  14. Jamard, E., Blouet, M., Thubert, T., Rejano-Campo, M., Fauvet, R., Pizzoferrato & A.C. (2020): Utility of 2D-ultrasound in pelvic floor muscle contraction and bladder neck mobility assessment in women with urinary incontinence, Journal of gynecology obstetrics and human reproduction 49, 101629.
  15. Sweed, M. S. & Sharara, S. (2016): Transperineal ultrasound evaluation of females with stress urinary incontinence, International Journal of Reproduction, Contraception, Obstetrics and Gynecology 5, 638.
  16. Chen, H.-Y., Huang, Y.-L., Hung, Y.-C. & Chen, W.-C. (2006): Evaluation of stress urinary incontinence by computer-aided
    vector-based perineal ultrasound, Acta obstetricia et gynecologica Scandinavica 85, 1259-1264.
  17. Sendag, F., Vidinli, H., Kazandi, M., Itil, I. M., Askar, N., Vidinli, B. & Pourbagher, A. (2003): Role of perineal sonography in the evaluation of patients with stress urinary incontinence, Australian and New Zealand journal of obstetrics and gynaecology 43, 54-57.
  18. Al-Khuzaee, L. R. & Al-Saadi, W. (2012): Perineal Ultrasound for Evaluating Bladder Neck and Urethra in Stress Urinary Incontinence, Iraqi Journal of Medical science 10, 367-374.
  19. Minardi, D., Piloni, V., Amadi, A., El Asmar, Z., Milanese, G. & Muzzonigro, G. (2007): Correlation Between Urodynamics and Perineal
    Ultrasound in Female Patients With Urinary Incontinence, Neurourology and Urodynamics: Official Journal of the International Continence Society 26, 176-182.
  20. Pregazzi, R., Sartore, A., Bortoli, P., Grimaldi, E., Troiano, L. & Guaschino, S. (2002): perineal ultrasound evaluation of urethral angle and bladder neck mobility in women with stress urinary incontinence BJOG: an international journal of obstetrics and gynaecology 109, 821-827.
  21. Yang, J.-M. & Huang, W.-C. (2002): Diagnosis and classification of female stress urinary incontinence by transperineal two-dimensional ultrasound, Journal of ultrasound in medicine 21, 1249-1256.
  22. Antovska, V. S. (2012): Ultrasound Characteristics of Patients with Urinary Stress Incontinence with or without Genital Prolapse, Korean journal of urology 53, 691-698.
  23. Hajebrahimi, S., Azaripour, A. & Sadeghi-Bazargani, H. (2009): clinical and transperineal ultrasound findings in females with stress urinary incontinence versus normal controls, Pakistan Journal of Biological Sciences 12, 1434-1437.
  24. Alper, T., Cetinkaya, M., Okutgen, S., Kökçü, A. & Malatyalıoğlu, E. (2001): Evaluation of Urethrovesical Angle by Ultrasound in Women with and without Urinary Stress Incontinence, International Urogynecology Journal 12, 308-311.
  25. Zhao, B., Wen, L., Liu, D. & Huang, S. (2022): Urethral configuration and mobility during urine leaking described using real-time transperineal ultrasonography, Ultrasonography 41, 171.

 

Files

Share

How to cite

Statistics