Ultrasound imaging of abdominal muscles activity among women with stress urinary incontinence: case-control study in Poland

Burzyński, Bartłomiej; Gibala, P; Jurys, Tomasz; Knapik, Michalina; Mazur-Biały, Agnieszka; Bryniarski, Piotr

doi:10.5603/gp.a2022.0090

Cited by 2 publications

(3 citation statements)

References 25 publications

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“…"Sapsford, Hodges [17], Thompson and Neumann [6,11] have shown there is a synergistic contraction of the abdominoperineal muscles under normal conditions". Other authors have observed a synergistic co-contraction of the abdominal muscles when the PFM are contracted in both continent and incontinent women [9,25], as in this study. However, this synergism may be lost in incontinent women [26].…”

Section: Discussionsupporting

confidence: 78%

“…The TTC also tends to be higher in continent versus incontinent women. Neither of these two results showed statistically significant differences, as they have done in other studies [7,25].…”

Section: Discussioncontrasting

confidence: 46%

“…On the other hand, the calculation of a new variable (RatioT) has been considered appropriate to avoid interpatient biases (interpersonal anatomical variability) [25,37]. The Ratio T defines the contraction capacity (measured by the change in thickness) of the transversus muscle, thereby reducing the inter-individual anatomical variability.…”

Section: Discussionmentioning

confidence: 99%

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What is the Role of the Transversus Abdominis Muscle in Maintaining Urinary Continence?

Gine C

2024

EPMR

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Introduction:The aetiology of urinary incontinence is multifactorial. There are ultrasound parameters that define continence risk factors. The synergism of the abdominoperineal muscles may be lost in incontinent patients, and it is unknown what role the transversus abdominis plays in maintaining urinary continence. The aim is to assess whether the thickness of the transversus abdominis muscle can be a predictive factor of continence in premenopausal women. Material and method:A prospective case-control study was conducted among 515 women (48,5%) incontinent, 51.5% continent. The thickness of the participants' transversus abdominis was measured using bidimensional ultrasound on the abdominal wall. To assess synergistic contraction, the same measurements were taken at rest, and again after 3-4 seconds of maximum perineal muscle contraction in the supine position while slightly flexing the knees.Results: 515 women were assessed: 48.5% incontinent, 51.5% continent. Abdominoperineal physiological co-contraction was identified in all of them (except one with Oxford=0). The intraclass correlation coefficient of the TTR was 0.94, and of the TTC, 0.93 (p=0.00). The TTR tended to be higher in incontinent women (0.32; SD 0.11) versus continent women (0.30; SD 0.11) (p>0.05). TTC tended to be higher in continent women (0.54; SD 0.19) versus incontinent women (0.53; SD 0.20) (p>0.05), and the RatioT was higher in continent women (85.07; SD 63.4) versus incontinent women (75.5; SD 61.74) (p<0.05) in bivariate analysis. The ultrasonographic variables of the transverse thicknesses were not shown as an independent continence predictor during the multivariate analysis. Conclusion:The procedure for measuring the thickness of the transversus abdominis thickness is simple and easily reproducible. Both continent and incontinent women experience synergistic abdominoperineal contraction. The TTC tends to be higher in continent women, as does the RatioT, while the transversus abdominis thickness cannot be defined as an independent predictor of continence in premenopausal women.

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Section: Discussionsupporting

confidence: 78%

Section: Discussioncontrasting

confidence: 46%

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What is the Role of the Transversus Abdominis Muscle in Maintaining Urinary Continence?

Gine C

2024

EPMR

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The relationship between urinary incontinence and abdominal muscle thickness in community-dwelling older women undergoing comprehensive geriatric assessment

Sahiner,

Mangır,

Güner

et al. 2023

Eur Geriatr Med

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Ultrasound imaging of abdominal muscles activity among women with stress urinary incontinence: case-control study in Poland

Abstract: This article has been peer reviewed and published immediately upon acceptance.It is an open access article, which means that it can be downloaded, printed, and distributed freely, provided the work is properly cited.Articles in "Ginekologia Polska" are listed in PubMed.

Cited by 2 publications

References 25 publications

What is the Role of the Transversus Abdominis Muscle in Maintaining Urinary Continence?

What is the Role of the Transversus Abdominis Muscle in Maintaining Urinary Continence?

The relationship between urinary incontinence and abdominal muscle thickness in community-dwelling older women undergoing comprehensive geriatric assessment

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