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MeSH: Urinary Incontinence-diagnostic imaging

3 hits in Medvik Filters

Online article

Pelvic Floor Ultrasound Findings and Symptoms of Pelvic Floor Dysfunction During Pregnancy

Cattani, Laura
Author Cattani, Laura ORCID Department of Development and Regeneration, Cluster Urogenital Surgery, Biomedical Sciences, KU Leuven, Herestraat 49, 3000, Louvain, Belgium Department of Gynaecology and Obstetrics, UZ Leuven, Louvain, Belgium
Van Schoubroeck, Dominique
Author Van Schoubroeck, Dominique ORCID Department of Development and Regeneration, Cluster Urogenital Surgery, Biomedical Sciences, KU Leuven, Herestraat 49, 3000, Louvain, Belgium Department of Gynaecology and Obstetrics, UZ Leuven, Louvain, Belgium
Samešova, Adela
Author Samešova, Adela ORCID Third Faculty of Medicine, Institute for the Care of Mother and Child, Charles University, Prague, Czech Republic
Packet, Bram
Author Packet, Bram ORCID Department of Development and Regeneration, Cluster Urogenital Surgery, Biomedical Sciences, KU Leuven, Herestraat 49, 3000, Louvain, Belgium Department of Gynaecology and Obstetrics, UZ Leuven, Louvain, Belgium
Housmans, Susanne
Author Housmans, Susanne ORCID Department of Development and Regeneration, Cluster Urogenital Surgery, Biomedical Sciences, KU Leuven, Herestraat 49, 3000, Louvain, Belgium Department of Gynaecology and Obstetrics, UZ Leuven, Louvain, Belgium
Deprest, Jan
Author Deprest, Jan ORCID Department of Development and Regeneration, Cluster Urogenital Surgery, Biomedical Sciences, KU Leuven, Herestraat 49, 3000, Louvain, Belgium. Jan.deprest@uzleuven.be Department of Gynaecology and Obstetrics, UZ Leuven, Louvain, Belgium. Jan.deprest@uzleuven.be Research Department of Maternal Fetal Medicine, Institute for Women's Health, University College London, London, UK. Jan.deprest@uzleuven.be

International urogynecology journal. 2024 ; 35 (12) : 2423-2430. [pub] 20241001

Int Urogynecol J
ISSN 1433-3023
Medvik
Source

INTRODUCTION AND HYPOTHESIS: Pregnancy and childbirth predispose to pelvic floor dysfunction (PFD), coinciding with functional and anatomical changes in the pelvic floor. To some extent, these can be assessed by transperineal ultrasound (TPUS), yet the correlation between ultrasound findings and symptoms has not been well elucidated. We hypothesised that pregnant women with PFD would show different findings at TPUS. METHODS: This is a planned secondary analysis of a prospective cohort study. Pregnant women were asked to fill out standardised questionnaires on PFD and undergo TPUS at 12-14 weeks and 28-32 weeks of gestation. We compared bladder neck descent, urethral rotation, retrovesical angle, pelvic organ descent, genital hiatus dimensions and the presence of anal sphincter defects between women with and those without PFD using t test and Fisher's exact test. Linear mixed-effects models were used to assess the correlation between TPUS findings and PFD severity. As this is a secondary subgroup analysis of participants who underwent TPUS, no sample size was determined upfront. RESULTS: At Valsalva, women with urinary incontinence had more pronounced bladder neck descent (p = 0.02) and urethral rotation (p < 0.01), as well as wider retrovesical angles (p = 0.04) and larger genital hiatus areas (p < 0.01). After controlling for age, BMI and parity, the retrovesical angle was the only persistent predictor of urinary incontinence. No correlation was observed between any TPUS marker and symptoms of either prolapse or anorectal dysfunction. CONCLUSIONS: In pregnant women, symptoms of urinary incontinence, but not of prolapse and anorectal dysfunction, are associated with differences in pelvic floor anatomy at TPUS.