scholarly journals The effect of vaginal delivery on stress urinary incontinence and bladder neck mobility: Transperineal ultrasound evaluation.

2020 ◽  
Author(s):  
Selen ECEMİS ◽  
Tolga ECEMİS ◽  
Nese YÜCEL
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Vaginal Delivery ◽  
Bladder Neck ◽  
Transperineal Ultrasound ◽  
Ultrasound Evaluation ◽  
Neck Mobility ◽  
Bladder Neck Mobility

scholarly journals Transperineal Ultrasound Assessment of a Cystocele’s Impact on the Bladder Neck Mobility in Women with Stress Urinary Incontinence

Medicina ◽  
2019 ◽  
Vol 55 (9) ◽  
pp. 562
Author(s):  
Maria-Patricia Rada ◽  
Răzvan Ciortea ◽  
Andrei Măluțan ◽  
Doru Diculescu ◽  
Costin Berceanu ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Birth Weight ◽  
Stress Urinary Incontinence ◽  
Bladder Neck ◽  
Valsalva Maneuver ◽  
Transperineal Ultrasound ◽  
Inferior Margin ◽  
Significant Difference ◽  
Neck Mobility ◽  
Bladder Neck Mobility

Background and objectives: As pelvic floor disorders are often difficult to assess thoroughly based on clinical examination alone, the use of imaging as a complementary technique is helpful. This study’s aim was to investigate by transperineal ultrasound (US) if there was any significant difference in the mobility of the bladder neck in women with stress urinary incontinence (SUI) without a cystocele and in those with SUI and an associated cystocele. The study also investigated whether the number of vaginal births and/or the heaviest newborn’s birth weight was correlated with the bladder neck mobility. Materials and Methods: A total of 71 women suffering from SUI were included in the study and divided into two groups based on the presence of a cystocele. Their bladder neck mobility was evaluated by transperineal US, calculating the distance from the inferior margin of the symphysis pubis to the bladder neck (SPBN), and the dorsocaudal linear movement (DLM), term used to illustrate the displacement of the bladder neck by subtracting rest and Valsalva values. GraphPad Prism 8 was used for statistical analysis. Results: Within both study groups, the SPBN values were significantly higher and the DLM values were significantly lower at rest as compared to Valsalva maneuver (p < 0.05). No significant difference between the groups regarding SPBN and DLM values at rest, Valsalva, or subtraction was demonstrated. A significant positive correlation was found between the bladder neck mobility and the heaviest newborn’s birth weight, regardless of the presence of a cystocele (p = 0.042). Conclusions: The presence of a cystocele had no significant impact on the bladder neck mobility measurements in patients with SUI. The heaviest newborn’s birth weight positively correlated with bladder neck hypermobility, as quantified by SPBN.

Bladder Neck Mobility and the Outcome of Surgery for Genuine Stress Urinary Incontinence

1995 ◽  
Vol 50 (2) ◽  
pp. 109-110
Author(s):  
Lewis L. Wall ◽  
Michael Helms ◽  
Alison B. Peattie ◽  
Malcolm Pearce ◽  
Stuart L. Stanton
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Bladder Neck ◽  
Genuine Stress Urinary Incontinence ◽  
Neck Mobility ◽  
Outcome Of Surgery ◽  
Bladder Neck Mobility

scholarly journals Effect of Er:YAG Laser for Women with Stress Urinary Incontinence

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Kun-Ling Lin ◽  
Shih-Hsiang Chou ◽  
Cheng-Yu Long
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Laser Treatment ◽  
Bladder Neck ◽  
Er:Yag Laser ◽  
Female Stress Urinary Incontinence ◽  
Yttrium Aluminium Garnet ◽  
Vaginal Mucosa ◽  
Neck Mobility ◽  
Bladder Neck Mobility

Purpose. The aim of our study is to assess efficacy of noninvasive erbium-doped yttrium aluminium garnet laser (Er:YAG laser) for female stress urinary incontinence (SUI). Materials and Methods. Forty-one women with SUI were included in the study and scheduled for vaginal Er:YAG laser treatment. The procedure was performed with a 2940 nm, Er:YAG laser (Fotona Smooth ™ XS, Fotona, Ljubljana, Slovenia), designed to heat up the vaginal mucosa to around 60°C. All subjects had a baseline and 6 months’ posttreatment assessment that included perineal sonography and lower urinary tract symptoms. Results. Significant improvements in both urinary frequency and incontinence were found 6 months after Er:YAG laser treatment when compared to the baseline results (p<0.001). The battery of questionnaires administered to patients, including the UDI-6, IIQ-7, OABSS, and POPDI-6, all showed significant improvement posttreatment (P < 0.001). The treatment efficacy for the vaginal Er:YAG laser for SUI at 6 months posttreatment was 75.5% (31/41). Bladder neck mobility by perineal ultrasonography decreased significantly (16.1 ± 6.4 mm to 10.5 ± 4.6 mm) after treatment (p=0.039). No permanent adverse events were found. Conclusions. The Er:YAG vaginal laser seems to be a safe and efficacious treatment for women with mild to moderate SUI, this being partly related to the decrease of bladder neck mobility following laser treatment.

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