Fernández González I, Ruiz Rubio J L, Llorente Abarca C, Herrero Payo A, Bustamante Alarma S, Paez Borda A, Berenguer Sánchez A
Servicio de Urología, Hospital Universitario de Getafe, Madrid, España.
Arch Esp Urol. 1995 Mar;48(2):185-90.
This study describes the use of transrectal ultrasound as an alternative to cystography in the assessment of female stress urinary incontinence. The procedure and the different parameters that must be evaluated are also described herein.
The patients were evaluated in the standing position and saggital sections were obtained with a transrectal transducer. The bladder was filled with saline and the test was done at rest using the Valsalva maneuver with or without a bladder catheter.
In these patients with female stress urinary incontinence, bladder neck movement was dorsal and caudad, the most important observation being bladder neck descent. Furthermore, we found an increased posterior urethrovesical angle.
Transrectal US is an alternative imaging technique in the assessment of patients with stress urinary incontinence that is easy to learn and avoids exposure of the patients to radiation.
本研究描述了经直肠超声在评估女性压力性尿失禁时作为膀胱造影替代方法的应用。本文还介绍了该检查程序以及必须评估的不同参数。
患者站立位接受评估，使用经直肠探头获取矢状切面图像。膀胱用生理盐水充盈，在静息状态下通过瓦尔萨尔瓦动作进行检查，有无膀胱导管均可。
在这些女性压力性尿失禁患者中，膀胱颈移动方向为背侧和尾侧，最重要的观察结果是膀胱颈下移。此外，我们发现后尿道膀胱角增大。
经直肠超声是评估压力性尿失禁患者的一种替代成像技术，易于掌握，且可避免患者暴露于辐射中。
