Urinary incontinence echocardiography and ultrasound
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Nasrin Nikravangolsefid, MD-MPH [2]
Overview
Ultrasound is helpful for diagnosis of bladder and pelvic pathologies such as pelvic organ prolapse and bladder neck mobility disorders. Findings on an ultrasound suggestive of stress urinary incontinence include Urine leakage, Bladder neck funneling,Bladder neck hypermobility and higher urethral angles.
Key Ultrasound Findings in Urinary incontinence
- Ultrasound is helpful for diagnosis of bladder and pelvic pathologies such as pelvic organ prolapse and measurement of urethral angle, urethra length, bladder volume, bladder neck mobility and funneling. [1] [2]
- There are some sonographic parameters for diagnosis of stress urinary incontinence, including[1]:
- Urine leakage
- Bladder neck funneling
- Bladder neck hypermobility
- Vesicourethral angle
- Transrectal ultrasound was used to evaluate urethrovesical junction (UVJ) abnormalities. Findings on Transrectal ultrasound suggestive of urinary incontinence include more than 1 cm UVJ drop on straining which shows poor support of bladder neck. [3]
- Findings on an ultrasound suggestive of stress urinary incontinence include higher rotation angle α and rotation angle β, which are anterior and posterior urethral angles. [4]
References
- ↑ 1.0 1.1 Bogusiewicz M (2016). "Ultrasound imaging in urogynecology - state of the art 2016". Prz Menopauzalny. 15 (3): 123–132. doi:10.5114/pm.2016.63060. PMC 5137478. PMID 27980522.
- ↑ Santoro GA, Wieczorek AP, Dietz HP, Mellgren A, Sultan AH, Shobeiri SA; et al. (2011). "State of the art: an integrated approach to pelvic floor ultrasonography". Ultrasound Obstet Gynecol. 37 (4): 381–96. doi:10.1002/uog.8816. PMID 20814874.
- ↑ Bergman A, Vermesh M, Ballard CA, Platt LD (1989). "Role of ultrasound in urinary incontinence evaluation". Urology. 33 (5): 443–4. doi:10.1016/0090-4295(89)90047-2. PMID 2652866.
- ↑ Al-Saadi WI (2016). "Transperineal ultrasonography in stress urinary incontinence: The significance of urethral rotation angles". Arab J Urol. 14 (1): 66–71. doi:10.1016/j.aju.2015.11.003. PMC 4767782. PMID 26966596.