Utility of 2D-ultrasound in pelvic floor muscle contraction and bladder neck mobility assessment in women with urinary incontinence

Jamard, Estelle; Blouet, Marie; Thubert, Thibault; Rejano-Campo, Montserrat; Fauvet, R.; Pizzoferrato, Anne‐Cécile

doi:10.1016/j.jogoh.2019.101629

Cited by 17 publications

(15 citation statements)

References 47 publications

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“…A limited number of studies have evaluated pelvic floor structures, such as levator ani, urethral sphincter or anal sphincter muscles; and it has been stated that more studies are needed on this subject. 9,14 Kreutzkamp et al evaluated patients with incontinence using strain elastography; they reported that the elasticity of the tissues of patients differed, and as the elastography rates decreased, the urethral mobility increased. 15 This study results are also consistent with those findings.…”

Section: Discussionmentioning

confidence: 99%

Use of Shear Wave Elastography to Evaluate Stress Urinary Incontinence in Women

Okçu

Vuruşkan

Görgülü

2021

J Coll Physicians Surg Pak

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Section: Discussionmentioning

confidence: 99%

Use of Shear Wave Elastography to Evaluate Stress Urinary Incontinence in Women

Okçu

Vuruşkan

Görgülü

2021

J Coll Physicians Surg Pak

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“…Transperineal ultrasound provided a panoramic view of the pelvic organs without modifying the anatomical relationship between the urethra and the surrounding structural landmarks. Bladder neck descent (BND) is one of the reliable measurements used to assess urethral mobility in clinical practice (9). At rest, the pre-operative distance of bladder neck to symphysis pubis (BSD) was 2.61 ± 0.3 cm, post-operative BSD was 2.8 ± 0.37 cm.…”

Section: Pre-operative and Post-operative Transperineal Ultrasound Measurementmentioning

confidence: 99%

Management and Follow-Up Practices of Women With Recurrent Stress Urinary Incontinence Following Transobturator Mid-urethral Synthetic Sling Procedure: A 6-Year Retrospective Monocentric University-Based Study

et al. 2021

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Purpose: The purpose of this study is to evaluate the efficacy of management and follow-up practices in repeat retropubic mid-urethral synthetic sling (MUS) procedure after transobturator tape/tension-free vaginal tape-obturator (TOT/TVT-O) failure, and to clarify the possible etiology of recurrent stress urinary incontinence.Methods: The charts of all women patients who underwent tension-free vaginal tape (TVT) slings after previous failed transobturator MUS procedures between February 2012 and November 2018 at a single center were reviewed retrospectively. The transperineal ultrasound was performed to assess the pre-operative or post-operative urethral mobility and location of the slings. Furthermore, some essential evaluations were also made, mainly including medical history, physical examination, 1 h pad test, and urodynamic study. Finally, primary outcomes were evaluated according to the above items at 3, 6, and 12 months after the second operation, respectively.Results: Thirty-five patients were included in the primary transobturator MUS sling procedure. At the 6 months follow-up, 32 (91.42%) patients were socially continent and negative in 1 h pad test. The transperineal ultrasound measurement results revealed that the bladder neck descent (BND) values were significantly decreased after the repeat sling operation, and better urinary continence function was observed according to the post-operative urodynamic study. Multifactorial etiologies resulted in recurrent stress urinary incontinence (SUI), including poor surgical technique, inadequate sling tension when treating ISD, and inappropriate sling position. Then the detail of the surgical procedure varied with the results of pre-operative evaluations, affecting the validity of the second sling.Conclusion: Recurrent SUI has resulted from multi factors, pre-operative urodynamic study and transperineal ultrasound might be valuable tools to guide repeat sling operation and predict post-operative outcomes. A repeat TVT procedure may be regarded as a remedial measure for a failed transobturator MUS operation.

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“…SWE is an effective method for studying the condition of various musculoskeletal soft tissues, including tendons, muscles, nerves and ligaments [20][21][22][23][24][25][26]. Previous research [20][21][22][23][24][25][26] shows the use of elastography in PFM assessment; mainly, the levator ani muscles [21][22][23]25] and the female striated urogenital sphincter [20], or the striated urethral sphincter [24], were assessed. These structures are responsible for proper urinary continence [20,24,26].…”

Section: Introductionmentioning

confidence: 99%

Assessment of the Elastographic and Electromyographic of Pelvic Floor Muscles in Postmenopausal Women with Stress Urinary Incontinence Symptoms

et al. 2021

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Background. Shear wave elastography is an effective method for studying the condition of various musculoskeletal soft tissues. The primary aim of this study was the objective elastographic and electromyographic assessment of the pelvic floor during the rest and contraction of the pelvic floor muscles (PFM) in postmenopausal women. Methods. This was a prospective observational study that was carried out at the University Hospital in Wroclaw, Poland, between January 2017 and December 2019. Patients. The target group of the study included postmenopausal women with stress urinary incontinence. The primary outcomes were the features of the elastographic assessment of the pelvic floor during rest and contraction of the PFM obtained using shear wave elastography. Results. Based on the inclusion and exclusion criteria for the study, 14 patients took part in the measurements. There was a significant difference between the elastographic assessment of the pelvic floor during rest and contraction of the PFM at all locations in front of the urethra. No statistically significant correlation was found between the results of elastography and the bioelectrical activity of PFM. Conclusion. The elasticity of the periurethral structures is higher during active pelvic floor muscle contraction than at rest, it seems that shear wave elastography is an effective test that objectively assesses the strength of PFM contraction.

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Utility of 2D-ultrasound in pelvic floor muscle contraction and bladder neck mobility assessment in women with urinary incontinence

Cited by 17 publications

References 47 publications

Use of Shear Wave Elastography to Evaluate Stress Urinary Incontinence in Women

Use of Shear Wave Elastography to Evaluate Stress Urinary Incontinence in Women

Management and Follow-Up Practices of Women With Recurrent Stress Urinary Incontinence Following Transobturator Mid-urethral Synthetic Sling Procedure: A 6-Year Retrospective Monocentric University-Based Study

Assessment of the Elastographic and Electromyographic of Pelvic Floor Muscles in Postmenopausal Women with Stress Urinary Incontinence Symptoms

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