Fernández González I, Ruiz de la Roja J C, Sánchez Sánchez E, Ruiz Rubio J L, Llorente Abarca C, Luján Galán M, Bustamante Alarma S, Berenguer Sánchez A
Servicio de Urología, Hospital Universitario de Getafe, Madrid, España.
Arch Esp Urol. 1997 Nov;50(9):977-81.
To describe the role of transrectal ultrasonography as an alternative imaging technique in the evaluation of women who continue to be incontinent following surgical management of female stress urinary incontinence.
The means of independent samples of transrectal ultrasound parameters of two groups of patients (group I, patients who were continent after surgery; group II, patients who remained incontinent after surgery) were compared.
Patients who were continent after surgery showed scanty caudal and dorsal mobility of the bladder neck and proximal urethra during the periods of increased intraabdominal pressure. The US finding in this group of patients is characterized by a funnel surrounding the bladder neck and the proximal urethra. The existence of an intrinsically incompetent sphincter can also be determined with this technique.
Transrectal ultrasonography constitutes an alternative imaging technique in the evaluation of women who continue to be incontinent following surgical management of female stress urinary incontinence. It permitis determining whether incontinence is due to a failed procedure, the existence of an intrinsically incompetent sphincter, or whether other causes of incontinence should be investigated.
描述经直肠超声检查作为一种替代成像技术在评估女性压力性尿失禁手术治疗后仍存在尿失禁情况中的作用。
比较两组患者（第一组，术后控尿的患者；第二组，术后仍尿失禁的患者）经直肠超声参数的独立样本均值。
术后控尿的患者在腹内压升高期间膀胱颈和近端尿道的尾侧和背侧活动度较小。该组患者的超声表现特征为膀胱颈和近端尿道周围有一个漏斗状结构。通过该技术还可确定是否存在内在功能不全的括约肌。
经直肠超声检查是评估女性压力性尿失禁手术治疗后仍存在尿失禁情况的一种替代成像技术。它有助于确定尿失禁是由于手术失败、存在内在功能不全的括约肌，还是应调查其他尿失禁原因。
