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| Role of Perineal Ultrasonography in Postoperative Evaluation of Patients with Stress Incontinence |
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| Seog Wan Ko Seog Wan Ko, M.D., Yong Yeon Jeong, M.D.*, Heoung Keun Kang, M.D.*, Tae Woong Chung, M.D.*, Jeong Jin Seo, M.D.*, Jin Gyoon Park, M.D.*, Dong Deuk Kwo |
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| Department of Diagnostic Radiology, Namkwang Hospital, Seonam University Medical School *Department of Diagnostic Radiology, Chonnam University Medical School **Department of Urology, Chonnam University Medical School |
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| PURPOSE : To evaluate the effectiveness of perineal ultrasonography in the evaluation of female stress incontinence
after surgical management.
MATERIALS and METHODS : Perineal ultrasonography was peformed in 19 patients who were surgically treated for
stress incontinence, and this was performed in erect position. Nineteen patients were divided into two groups,
group A for 11 patients with resolved incontinent after surgery and group B for 8 patients with persistent incontinence
even after surgery. Using a sagittal scan of the anterior pelvis at the level of the symphysis pubis, the posterior
urethrovesical angle (PUVA) and descent of the bladder neck were measured at rest and during stress
(Valsalva maneuver), and these measured values obtained before and after surgery were compared between two
groups, group A and B.
RESULTS : Postoperative PUVA and descent of the bladder neck were decreased when compared with preoperative
values measured at rest and during stress in both groups. There was a statistically significant difference in the
postoperative PUVA between two groups (p<0.05). The mean increment of PUVA during stress after surgery
was 6.3±3.8°in group A and 14.6±6.4°in group B, respectively, showing statistically significant difference
(p<0.05). There was also a statistically difference in the mean descent of the bladder neck during stress after
surgery between the two groups (p<0.05).
CONCLUSION : The measurement and comparison of PUVA and descent of the bladder neck by perineal ultrasonography
before and after surgery in patients with stress incontinence offered useful and objective information in evaluating
the effectiveness of surgical management in female stress incontinence.the surgical effectiveness in
the stress incontinence. |
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| Keyword : Urine, incontinence, Bladder, US, Urethra, US |
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pdf파일 : k20200287.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 2001 ; 20 (4) : p.287-292
