Bladder neck evaluation by perineal ultrasound before and after reconstructive surgery for pelvic organ prolapse

Nishibayashi, Manabu; Kobayashi, Koichi; Miki, Akinori; Okagaki, Ryugo; Nagata, Ichiro; Urashima, Mitsuyoshi; Ishihara, Osamu

doi:10.1007/s10396-009-0231-5

Cited by 3 publications

(1 citation statement)

References 25 publications

(26 reference statements)

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“…The LU (mm) is the distance from the bladder neck to the lower margin of the pubic symphysis; the longer this distance, the higher is the position of the bladder. The FI is measured by multiplying the width (mm) of the bladder neck by its height (mm) [24]. The rhabdosphincters, a part of the external urethral sphincter, are located in the middle of the urethra [16].…”

Section: Outcome Measuresmentioning

confidence: 99%

Effect of transcutaneous electrical stimulation on morphological characteristics of women with stress urinary incontinence

Kim¹,

Park²,

Hwang³

et al. 2020

Preprint

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Background: Stress urinary incontinence is an involuntary leakage of urine due to a weak pelvic floor and weak sphincter when the intra-abdominal pressure increases. Its symptoms are known to improve upon electrical stimulation of the pelvic floor. This study aimed to determine the effects of transcutaneous electrical stimulation on ultrasonography variables, such as the bladder neck position (BNP), length of the urethra (LU), funneling index (FI), and posterior (PRT) and anterior rhabdosphincter thickness (ART), and the Incontinence Quality of Life scores. It also investigated the association between the relative changes in the two.Methods: Twenty-one patients with stress urinary continence were included and subjected to transcutaneous electrical stimulation for eight weeks. Ultrasonography was used to measure the BNP, LU, FI, ART, and PRT. Data were analyzed at rest and during the Valsalva maneuver and the difference (△) between them was evaluated.Results: The BNP during the Valsalva maneuver and the △BNP decreased significantly. The LU during the Valsalva maneuver increased after eight weeks. The FI during the Valsalva maneuver and the △FI changed significantly. The ART and PRT and the total quality of life score significantly increased after eight weeks (p<.05). The LU during the Valsalva maneuver positively correlated with the total quality of life (r=0.630; p=.002), psychosocial impact subscale (r=0.705; p=.000), and social embarrassment subscale (r=0.488; p=.025) scores. The correlations between the PRT and the avoidance and limiting behavior subscale score (r=0.624; p=.002) and between the △FI and the social embarrassment subscale score (r=-0.515; p=.0.20) were significant.Conclusions: Transcutaneous electrical stimulation can improve the BNP, ART, and PRT, along with the subjective indicators, in women with stress urinary continence. Improving stress urinary continence symptoms can ameliorate women’s social and psychological self-esteem.

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Section: Outcome Measuresmentioning

confidence: 99%

Effect of transcutaneous electrical stimulation on morphological characteristics of women with stress urinary incontinence

Kim¹,

Park²,

Hwang³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

Effects of Transcutaneous Electrical Stimulation on Physiological Symptoms and Psychological Satisfaction in Women With Stress Urinary Incontinence: A Preliminary Study

Kim

Jeon

Hwang

et al. 2019

Physical Therapy Korea

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Effect of Non-invasive Transcutaneous Electrical Stimulation in Women With Stress Urinary Incontinence: A Prospective Study

Kim,

Jeon,

Kwon

et al. 2024

Physical Therapy Korea

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Bladder neck evaluation by perineal ultrasound before and after reconstructive surgery for pelvic organ prolapse

Abstract: Our results yielded by PUS suggested that larger BNM and FI values were the causative factors of SUI. PUS may be beneficial for selecting a suitable surgical procedure for POP, and it may also be helpful for assessing surgical efficacy.

Cited by 3 publications

References 25 publications

Effect of transcutaneous electrical stimulation on morphological characteristics of women with stress urinary incontinence

Effect of transcutaneous electrical stimulation on morphological characteristics of women with stress urinary incontinence

Effects of Transcutaneous Electrical Stimulation on Physiological Symptoms and Psychological Satisfaction in Women With Stress Urinary Incontinence: A Preliminary Study

Effect of Non-invasive Transcutaneous Electrical Stimulation in Women With Stress Urinary Incontinence: A Prospective Study

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