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Transrectal sonographic cystourethrography: studies in stress urinary incontinence
H C Chang1, S C Chang, H C Kuo
1Department of Urology, College of Medicine, National Taiwan University, Taipei, Republic of China.
Urology
|December 1, 1990
Summary
Transrectal ultrasound effectively diagnoses female stress urinary incontinence by measuring the posterior urethrovesical angle. This sonographic method is superior to radiography for accurate assessment and surgical guidance.
Area of Science:
- Urology
- Diagnostic Imaging
- Female Pelvic Medicine
Background:
- Transrectal ultrasound is valuable for visualizing the female bladder and urethra.
- Urinary stress incontinence (SUI) diagnosis can be challenging.
Purpose of the Study:
- To evaluate transrectal ultrasound for diagnosing SUI in women.
- To compare sonographic cystourethrography with radiographic methods.
- To assess the utility of transrectal ultrasound in guiding SUI surgery.
Main Methods:
- Transrectal ultrasonic sagittal transducer used to image bladder and urethra.
- Posterior urethrovesical (PUV) angle measured under strain and non-strain conditions.
- Sonographic cystourethrography compared with radiographic chain cystourethrogram.
Main Results:
- Transrectal ultrasound accurately estimates the PUV angle.
- Sonographic cystourethrography is superior to radiography for SUI diagnosis.
- Transrectal ultrasound differentiates patients with and without SUI.
Conclusions:
- Transrectal ultrasound is a helpful diagnostic tool for female SUI.
- Sonographic cystourethrography offers superior accuracy over radiography.
- Intraoperative transrectal ultrasound aids in surgical adjustments for SUI.