2011, Number 6
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Rev Mex Urol 2011; 71 (6)
Ultrasonido en la evaluación de la incontinencia urinaria femenina no neurológica
Ramírez-Ley CR, Ramírez-Lucero CF, Arias-Rosales EC
Language: Spanish
References: 40
Page: 319-324
PDF size: 491.29 Kb.
ABSTRACT
Urinary incontinence affects 46.5% of Mexican women and it is a fact that its prevalence increases in relation to the aging process. Adequate diagnosis cannot be made through clinical evaluation alone, except in select cases, and it generally requires several study techniques such as simple cystometry, cystoscopy, ultrasound imaging, and urodynamics. Urodynamic testing is the criterion standard for diagnosing urinary incontinence, but it is expensive and not easily accessible. There are many techniques available for the study of these patients, and it is the authors’ opinion that ultrasonography has been underused for this purpose.
Objective: To describe ultrasonographic anatomy and a validated technique for performing ultrasound imaging of the pelvic floor that has a specificity of 79.6% and a sensitivity of 92% in the diagnosis of urethral hypermobility.
REFERENCES
Heesakkers J, Gerretsen R. Urinary incontinence: Sphincter functioning from an urological perspective. Digestion 2004;69:93-101.
Diokno A, Estanol MV, Mallet V. Epidemiología de la disfunción de vías urinarias bajas. En: Gabbe S, Scott J. Clínicas obstétricas y ginecológicas, (Ed.) McGraw-Hill Interamericana, México; 2004.pp.35-41.
Velazquez-Magaña M, Bustos-López H, Rojas-Poceros G, et al. Prevalencia y calidad de vida en mujeres con incontinencia urinaria. Estudio en población abierta. Ginecol Obstet México 2007;75:347-56.
Hampel C, Wienhold D, Benken N, et al. Prevalence and natural history of female incontinence. Eur Urol 1997;32(Suppl2):3-12.
Berek J. Incontinencia, prolapso y trastornos del piso pélvico, En: Ginecología de Novak, (Ed.) McGraw Hill. 13a Ed. México; 2002.pp.541.
De Lancey JO. Structural support of the urethra as it relates to stress urinary incontinence: The Hammock hypothesis. Am J Obstet Gynecol 1994;170:1713-20.
Mostwin JL, Yang A, Sanders R, Genadry R. Radiography, sonography, and magnetic resonance imaging for stress incontinence. Urol Clin North Am 1995;22:539-49.
Jensen J, Rex Nielsen, Ostergard D. The Role of patient history in the diagnosis of urinary incontinence, diagnosis of urinary incontinence. Obstet Gynecol 1994;83(5 Pt2):904-10.
Montz F, Stanton S. Q-tip test in female urinary incontinence. Obstet Gynecol 1986;67:258-60.
Paul Abrams. Urodynamics in clinical practice. En: Paul Abrams Urodynamics, (Ed) Springer-Verlag, 3rd Ed London; 2006.pp.155.
White RD, McQuown D, McCarthy T, Ostergard D. Real time ultrasonography in the evaluation of urinary stress incontinence. Am J Obstet Gynecol 1980;138:235-7.
Troyano J, Clavijo M, González-Lorenzo A, et al. Female pelvic floor. Descriptive anatomy and clinical exploration by transvaginal ultrasound. Am J Obstet Gynecol 1980;138:235-7.
Chang T, Bohm-Velez M, Mendelson E. Nongynecologic applications of transvaginal sonography. AJR Am J Roentgenol 1993;160:87-93.
Kondo Y, Homma Yukio, Takahashi S. Transvaginal ultrasound of urethral sphincter at the mid urethra in continent and incontinent women. J Urol 2001;165:149-52.
Hok M, Van Bolhuis C, Vierhout ME. Vaginal ultrasound studies of bladder neck mobility. Br J Obstet Gynaecol 1995;102:47-53.
Dietz H, Mcknoulty L, Clarke B. Translabial color Doppler for imaging in urogynecology: a preliminary report. Ultrasound Obstet Gynecol 1999;14:144-7.
Martensson O, Duchek M. Translabial sonography in evaluating the lower female urogenital tract. AJR Am J Roentgenol 1996;166:1327-31.
Cassadó J, Pessarrodona A, Tulleuda R, Cabero L. Introital ultrasonography: a comparison of women with stress incontinence due to urethral hypermobility and continent women. BJU Int 2006;98:822-8.
Sendag F, Vidinli Halit, Kazandi M. Role of perineal sonography in the evaluation of patients with stress urinary incontinence. Aust N Z J Obstet Gynaecol 2003;43:54-7.
Schaer G, Perucchini D, Munz E, et al. Sonographic evaluation of the bladder neck in continent and stress-incontinent women. Obstet Gynecol 1999;93:412-6.
Schaer G, Koechli O, Shuessler B, Haller U. Usefulness of ultrasound contrast medium in perineal sonography for visualization of bladder neck funneling- first observations. Urology 1996;47:452-3.
Pregazzi R, Sartore A, Bortoli P, et al. Perineal ultrasound eval of urethral angle and bladder neck mobility in women with stress urinary incontinence. BJOG 2002;109:821-7.
Schaer G, Schmid T, Peschers U, Delancey J. Intraurethral ultrasound correlated with urethral histology. Obstet Gynecol 1998;91:60-4.
Major H. Cullgian P, Heit M. Urethral sphincter morphology in women with detrusor instability. Obstet Gynecol 2002;99:63-8.
Cassadó-Garriga J. Valoración ecográfica del tracto urinario inferior y suelo pélvico. En: Espuña M, Salinas J. Tratado de uroginecología, incontinencia urinaria, (Ed) Ars Médica. Barcelona, España; 2004. pp.117-131.
Umek W, Obermair A, Stutterecker D, et al. Three-dimensional ultrasound of the female urethra: comparing transvaginal and transrectal scanning. Ultrasound Obstet Gynecol 2001;17:425-30.
Athanasiou S, Khullar V, Boos K, et al. Imaging the urethral sphincter with three-dimensional ultrasound. Obstet Gynecol 1999;94:295-301.
Khuar V, Cardozo L, Salvatore S. Hill S. Ultrasound: a noninvasive screening test for detrusor instability. Br J Obstet Gynaecol 1996;103:904-8.
Wise B, Burton G, Cutner A, Cardozo L. Effect of vaginal ultrasound probe on lower urinary tract function. Br J Urol 1992;70:12-6.
Huang W, Yang Jenn. Bladder neck funneling on ultrasound cystourethrography in primary stress urinary incontinence: a sign associated with urethral hypermobility and intrinsic sphincter defiency. Urology 2003;61:936-41.
Chen G, Su T, Lin L. Applicability of perineal sonography in anatomical evaluation of bladder neck in women with and withour genuine stress incontinence. J Clin Ultrasound 1997;25:189-94.
Reddy A, DeLancey J, Zwica L, et al. On-screen vector-based ultrasound assessment of vesical nech movement. Am J Obstet Gynecol 2001;185:65-70.
Abu-Yousef M, Narayana A, Brown R, Franken E. Urinary bladder tumors studied by cistosonography. Radiology 1984;153:227-31.
Lo T, Horng S, Llang C, et al. Ultrasound assessment of mid-urethra tape at three year follow-up after tension-free vaginal tape procedure. Urology 2004;63:671-5.
Lo T, Wang A, Horng S, et al. Ultrasonographic and urodynamic evaluation after tension free vagina tape procedure (TVT). Acta Obstet Gynecol Scand 2001;80:65-70.
Martan A, Masata J, Halaska M, Voigt R. Ultrasound imaging of the lower urinary system in women alter Burch colposuspension. Ultrasound Obstet Gynecol 2001;17:58-64.
Harms L, Emons G, Bader W, et al. Funneling Before and after antiincontinence surgery, a prognostic indicator? Part 2: Tension free vaginal tape. Int Urogynecol J Pelvic Floor Dysfunct 2007;18:289-94.
Haylen T, Frazer M, Sutherst R, West C. Transvaginal ultrasound in the assessment of bladder volumes in women, preliminary report. Br J Urol 1989;63:149-51.
Gerard E, Lloyd L, Kubricht W, et al. Transvaginal ultrasound for the diagnosis of urethral diverticulum. J Urol 2003;169:1395-7.
Dietz H. The anterior compartment. En: Atlas of pelvic floor ultrasound, Dietz H, Hoyte L, Steensma A, Springer, (Ed) Springer-Verlag, London; 2008.pp.41-62.