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[Transvaginal echocystourethrography].

B Frea1, M Bazzocchi, G B Bellis

  • 1Clinica Urologica, Università di Trieste.

Archivio Italiano Di Urologia, Nefrologia, Andrologia : Organo Ufficiale Dell'Associazione Per La Ricerca in Urologia = Urological, Nephrological, and Andrological Sciences
|June 1, 1991
PubMed
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A novel ultrasound technique visualizes female urination dynamics and anatomy. This non-invasive method aids in diagnosing urinary issues, particularly stress incontinence, in women of reproductive age.

Area of Science:

  • Urology
  • Diagnostic Imaging
  • Female Pelvic Medicine

Background:

  • Traditional methods for evaluating female urination can be invasive or involve radiation.
  • Understanding the dynamic and morphologic aspects of female urination is crucial for diagnosing conditions like stress incontinence.

Purpose of the Study:

  • To illustrate the anatomo-physiologic appearances of female urination using a new ultrasonographic technique.
  • To compare the efficacy of this new technique with traditional X-ray cystourethrography.

Main Methods:

  • A new ultrasonographic technique utilizing an intravisceral linear probe in the vagina.
  • Videorecording of urination in a physiological position using a specialized chair.
  • Comparison of results with X-ray cystourethrography.

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Main Results:

  • Demonstrated normal and pathological aspects of female urination, both dynamically and morphologically.
  • Identified changes in pelvic floor and bladder neck position, correlating with stress incontinence.
  • Highlighted the relative simplicity and non-invasiveness of the echographic technique.

Conclusions:

  • The new ultrasonographic technique offers a simple, non-invasive method for studying female urination.
  • It is particularly suitable for evaluating urinary diseases in women of fertile age, avoiding X-ray radiation.
  • The technique aids in diagnosing conditions like stress incontinence by assessing urethral direction and pelvic floor changes.