Pelviperineology

Tables in Original article by
ALEKSANDRA STANKIEWICZ (*) - ANDRZEJ P. WIECZOREK (*) - MAGDALENA M.WOZNIAK (*)
MICHAL BOGUSIEWICZ (**), KONRAD FUTYMA (**), TOMASZ RECHBERGER (**) -
GIULIO A. SANTORO (***)

Comparison of accuracy of functional measurements of the urethra in transperineal vs. endovaginal ultrasound in incontinent women

 

(*) Pediatric Radiology Department, Children’s Hospital, Medical University of Lublin, ul Chodzki 2, 20-093 Lublin - Poland
(**) 2nd Gynecology Department, Teaching Hospital, Medical University of Lublin, ul.Jaczewskiego 8, 20-090 Lublin - Poland
(***) 3rd Division of General Surgery, Regional Hospital, Treviso - Italy

Images reproduction prohibited without permission of Authors.

(Fig 1)

Fig 1. – Transperineal ultrasound of pelvic floor. AC- anal canal, SP- pubic symphysis, V - vagina, ARA - anorectal angle. The measurements of urethral length is 38.5 mm and BSD is 32.1 mm in this 30 Y incontinent patient.

(Fig. 2 )

Fig 2. –Longitudinal view of the urethral complex obtained by a 180° rotational transducer with perpendicular beam formation, 9-12 MHz frequency and with “free-hand” 3-D acquisition. BN - bladder neck, SP - pubic symphysis, EO - external orifice of the urethra.

(Fig. 3 )

Fig 3. – TPUS. BSD 22 mm, urethral length 39,5 mm; 48 Y incontinent patient with coexisting cystocele.

(Fig. 4 )

Fig 4. – TPUS. BSD during Valsalva manouvre 5.6 mm in 48 Y incontinent patient with coexisting cystocele.

(Fig. 5 )

Fig 5. – EVUS. Measurements of BSD (21 mm) and urethral length (32.4 mm) at rest in 61 Y incontinent patient.

(Fig. 6 )

Fig 6. – EVUS. Measurements of BSD (13 mm) during Valsalva manoeuvre in 61 Y incontinent patient. B - bladder, BN - bladder neck, U - urethra.