Three-dimensional ultrasound of the urethral sphincter predicts continence surgery outcome

Neurourology and Urodynamics
G Alessandro DigesuV Khullar

Abstract

To assess the predictive value of three-dimensional (3D) ultrasound volumes of the urethral sphincter in women undergoing continence surgery. Women with urodynamic stress incontinence undergoing to Burch colposuspension were prospectively studied using videocystourethrography (VCU), urethral pressure profilometry (UPP) and a 3D transvaginal ultrasound scan of the urethra. The total urethral sphincter volume, urethral volume, maximum cross sectional area, and rhabdosphincter volume were calculated, preoperatively. Surgical outcome was assessed at 6 months using VCU. Urethral function parameters were correlated to surgical outcomes using the Mann-Whitney U-test. Ninety-one women were studied. Women who failed continence surgery had significantly smaller preoperative urethral sphincter volumes than those who had an objective cure (P < 0.001). UPP parameters were not found to be predictive of surgical outcome (P = 0.5). The assessment of the urethral sphincter using a 3D ultrasound scan predicts the outcome of continence surgery.

References

Sep 1, 1979·British Journal of Obstetrics and Gynaecology·S L Stanton, L D Cardozo
May 1, 1994·British Journal of Obstetrics and Gynaecology·G J Jarvis
Jan 1, 1996·International Urogynecology Journal and Pelvic Floor Dysfunction·U UlmstenG Varhos
Oct 1, 1996·British Journal of Urology·N A Black, S H Downs
Sep 29, 1998·The Journal of Urology·D C ChaikinJ G Blaivas
Jul 30, 1999·British Journal of Obstetrics and Gynaecology·L CardozoK Boos
Aug 4, 1999·Obstetrics and Gynecology·S AthanasiouL Cardozo
Oct 29, 2000·International Urogynecology Journal and Pelvic Floor Dysfunction·P K ThompsonP S Thayer
Apr 11, 2001·International Urogynecology Journal and Pelvic Floor Dysfunction·G C HsiehW H Kobak
Jun 2, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·P Toozs-HobsonL Cardozo
Sep 25, 2001·International Urogynecology Journal and Pelvic Floor Dysfunction·J Bidmead, L Cardozo
Feb 22, 2002·Neurourology and Urodynamics·Paul AbramsUNKNOWN Standardisation Sub-committee of the International Continence Society
Mar 6, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·D Jurkovic
Apr 1, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·N J Raine-FenningI R Johnson
May 29, 2003·The Journal of Urology·Elizabeth A MillerGeorge D Webster
Aug 28, 2003·Archives of Gynecology and Obstetrics·A LiapisG Creatsas
Oct 8, 2003·International Urogynecology Journal and Pelvic Floor Dysfunction·Paul M DugganPeter Herbison
Mar 18, 2004·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·D RobinsonA Digesu
May 11, 2004·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·N J Raine-FenningI R Johnson
Dec 22, 2004·BJU International·Giuseppe Alessandro DigesuStefano Salvatore
Jan 27, 2005·The Journal of Obstetrics and Gynaecology Research·El-Said Abdel-Hady, Glyn Constantine
Jan 10, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·G Alessandro DigesuVik Khullar
Aug 11, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·G Alessandro DigesuStavros Athanasiou
Oct 25, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·Stavros AthanasiouAris Antsaklis
Jan 4, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·W P MartinsF Mauad Filho

❮ Previous
Next ❯

Citations

Nov 20, 2009·International Urogynecology Journal·Maria Andrada Hamer, Jan Persson
Apr 23, 2011·International Urogynecology Journal·Hans Peter Dietz
Jun 1, 2011·International Urogynecology Journal·Alexandros DerpapasVik Khullar
May 29, 2009·Archives of Gynecology and Obstetrics·Montasser A MahranAhmed Rashed
May 22, 2010·AJR. American Journal of Roentgenology·Courtney A WoodfieldJeffrey M Brody
May 28, 2014·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·R MathieuA Descazeaud
Jun 11, 2011·Neurourology and Urodynamics·Andrea TubaroCosimo de Nunzio
Apr 14, 2015·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·F CourUNKNOWN le Comité d’Urologie et de Périnéologie de la Femme de l’AFU
Dec 2, 2017·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Yinghua XuanQingqing Wu
May 3, 2012·ISRN Urology·Miguel Silva-RamosFilinto Marcelo
Feb 16, 2011·Nature Reviews. Urology·Rufus CartwrightVik Khullar
Feb 9, 2018·Annals of Biomedical Engineering·Catriona S CzyrnyjLinda McLean
Jan 25, 2017·Female Pelvic Medicine & Reconstructive Surgery·Andrea Chua SantiagoS Abbas Shobeiri
Mar 11, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Song YueQingqing Wu
Apr 13, 2021·Neurourology and Urodynamics·Helena FrawleyJenniffer Voelkl Guevara
Sep 3, 2009·Current Opinion in Obstetrics & Gynecology

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.