2nd Department of Obstetrics-Gynaecology, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Department of Obstetrics-Gynaecology, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania.
Medicina (Kaunas). 2019 Sep 3;55(9):562. doi: 10.3390/medicina55090562.
: 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. : 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. : Within both study groups, the SPBN values were significantly higher and the DLM values were significantly lower at rest as compared to Valsalva maneuver ( < 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 ( = 0.042). : 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.
: 由于仅凭临床检查很难全面评估盆底功能障碍，因此使用影像学作为补充技术是有帮助的。本研究旨在通过经会阴超声（US）检查来探讨在没有膀胱膨出的压力性尿失禁（SUI）女性和伴有膀胱膨出的 SUI 女性中，膀胱颈的移动度是否存在显著差异。该研究还探讨了阴道分娩次数和/或新生儿中最重者的出生体重是否与膀胱颈移动度相关。: 共有 71 名患有 SUI 的女性纳入研究，并根据是否存在膀胱膨出将其分为两组。通过经会阴 US 评估其膀胱颈移动度，计算耻骨联合下缘至膀胱颈的距离（SPBN）和背侧尾侧线性运动（DLM），后者用于通过减去静息和valsalva 值来表示膀胱颈的位移。GraphPad Prism 8 用于统计分析。: 在两组中，与valsalva 相比，静息时 SPBN 值显著升高，DLM 值显著降低（<0.05）。静息、valsalva 和差值时两组之间 SPBN 和 DLM 值无显著差异。无论是否存在膀胱膨出，膀胱颈移动度与新生儿中最重者的出生体重呈显著正相关（=0.042）。: 膀胱膨出的存在对 SUI 患者膀胱颈移动度测量无显著影响。新生儿中最重者的出生体重与 SPBN 定量的膀胱颈过度活动呈正相关。
