BLADDER NECK MOBILITY EVALUATED BY VAGINAL ULTRASONOGRAPHY

被引:40
作者
MOURITSEN, L [1 ]
RASMUSSEN, A [1 ]
机构
[1] GENTOFTE HOSP,DEPT UROL,DK-2900 COPENHAGEN,DENMARK
来源
BRITISH JOURNAL OF UROLOGY | 1993年 / 71卷 / 02期
关键词
D O I
10.1111/j.1464-410X.1993.tb15911.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Factors involved in monitoring bladder neck mobility were studied by means of vaginal ultrasonography. Thirty-three continent, 28 incontinent and 39 patients who had undergone surgery for incontinence were examined in the supine and sitting positions during rest, the Valsalva manoeuvre and withholding urine. Bladder neck mobility can be described as a semicircular movement with the tip of the symphysis pubis as the centre and a line from the tip to the bladder neck as the radius (BS). Movement can be measured by 2 independent factors: BS distance and size of the angle between the BS line and the midline of the symphysis, at rest, during the Valsalva manoeuvre and withholding urine. The continent controls were characterised by a 90-degrees angle at rest, a long BS (2.4 cm) and a fixed bladder neck. The incontinent patients had a shorter BS (2.1 cm), angles at rest of approximately 100-degrees-the angle increased with the grade of incontinence-and a mobile bladder neck. If 2 of the 3 criteria (angle at rest greater-than-or-equal-to 95-degrees BS less-than-or-equal-to 2.3 cm and mobility greater-than-or-equal-to 20-degrees) are regarded as diagnostic of incontinence, diagnostic sensitivity was 84% and specificity 82%. In the surgical group, patients who failed to respond to treatment had a shorter BS, larger angles and greater bladder neck mobility than their successfully treated counterparts.
引用
收藏
页码:166 / 171
页数:6
相关论文
共 10 条
[1]   TRANS-RECTAL ULTRASOUND VERSUS CYSTOGRAPHY IN THE EVALUATION OF ANATOMICAL STRESS URINARY-INCONTINENCE [J].
BERGMAN, A ;
MCKENZIE, CJ ;
RICHMOND, J ;
BALLARD, CA ;
PLATT, LD .
BRITISH JOURNAL OF UROLOGY, 1988, 62 (03) :228-234
[2]   ULTRASONIC EVALUATION OF URETHROVESICAL JUNCTION IN WOMEN WITH STRESS URINARY-INCONTINENCE [J].
BERGMAN, A ;
BALLARD, CA ;
PLATT, LD .
JOURNAL OF CLINICAL ULTRASOUND, 1988, 16 (05) :295-300
[4]  
ENHORNING GE, 1961, ACTA CLIN SCAND, V176, P168
[5]  
INGELMANSUNDBERG A, 1953, NORD MED, V50, P1149
[6]  
OLESEN KP, 1982, THESIS U COPENHAGEN
[7]   TRANS-VAGINAL ENDOSONOGRAPHY - A NEW METHOD TO STUDY THE ANATOMY OF THE LOWER URINARY-TRACT IN URINARY STRESS-INCONTINENCE [J].
QUINN, MJ ;
BEYNON, J ;
MORTENSEN, NJM ;
SMITH, PJB .
BRITISH JOURNAL OF UROLOGY, 1988, 62 (05) :414-418
[8]   TOPICS IN VARIANCE COMPONENT ESTIMATION [J].
SEARLE, SR .
BIOMETRICS, 1971, 27 (01) :1-&
[10]  
1987, DANISH FOOD AGENCY P, V152