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Urinary Bladder

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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing

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Published on: August 14, 2019

Does bladder neck descent increase with age?

¹Nepean Clinical School, University of Sydney, Nepean Hospital, Penrith, NSW, 2750, Australia. hpdietz@bigpond.com

International Urogynecology Journal and Pelvic Floor Dysfunction

|April 17, 2007

Summary

Age does not significantly worsen bladder neck descent in women, particularly those who have not given birth. Childbirth appears to be a key factor in the relationship between aging and pelvic floor support.

Area of Science:

Urogynecology
Pelvic Floor Disorders
Geriatric Medicine

Background:

Pelvic organ descent and prolapse are commonly believed to worsen with age.
Epidemiological data generally support this assumption, but specific relationships require detailed investigation.

Purpose of the Study:

To investigate the correlation between age and bladder neck descent (BND) in women.
To explore potential differences in this relationship between parous and nulliparous women.

Main Methods:

Retrospective observational study of 790 women evaluated for pelvic floor disorders.
Trans-labial ultrasound used to assess bladder neck descent, cystocele descent, and urethral rotation during a maximal Valsalva maneuver.

Main Results:

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A weak negative correlation was found between bladder neck descent and age (r = -0.154, p < 0.001).
This correlation was absent in nulliparous women but stronger in parous women (r = -0.213, p < 0.001).
The association became apparent from age 50 onwards, potentially linked to postmenopausal tissue changes.

Conclusions:

Age alone shows a weak association with increased bladder neck descent.
Parity and potential obstetric trauma are significant factors influencing the age-related changes in pelvic floor support.
Further research into obstetric confounders is warranted to understand pelvic floor disorder development.