The Clinical Application of The Real - Time Three - Dimensional Transperineal Ultrasound In Women With Stress Urinary Incontinence
XU Yuan-cheng
YANG Fei
LI Wen-biao
XIE Jun-cong
ZHAN Hai-lun
LIU Bai-long
CHEN Jia-liang
ZHOU Xiang-fu
Abstract：Objective To investigate the clinical application of real - time three - dimensional transperineal in pre - operative and post - operative evaluation for women with stress urinary incontinence (SUI). Methods Thirty - two women with SUI and 32 age - matched female healthy controls were included in our hospital from April 2015 to December 2016. All participants received real - time three - dimensional transperineal ultrasound. The positions of bladder neck,u-rethra,and pubovisceral muscle at rest and during a Valsalva maneuver,respectively,were measured. The parameters were compared between the two groups,as well as compared before and after tension - free vaginal tape obturator proce-dure (TVT - O)in SUI group. Results SUI group had significantly higher bladder neck mobility,larger posterior vesi-courethral angle,larger anteroposterior diameter of the levator hiatus,longer urethra and larger urethral rotation angle com-pared to healthy controls (P < 0. 05). In SUI group,the post - operative urethra was significantly shorter than the pre -operatitve urethra (P < 0. 05),close to healthy controls (P > 0. 05). However,the urethra rotation angle and the forma-tion of the funnel of urethra orifice were dramatically reduced (P < 0. 05),but still not similar with healthy control (P <0. 05). Conclusion The real - time three - dimensional transperineal ultrasound is valuable to make pre - operative eval-uation,monitor the TVT - O tape after surgery and make post - operative assessment.
Keywords：3D ultrasoundfemale stress urinary incontinenceassessmenttape
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 2778-2781 )