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[Simplified micturitional cystourethrography in female urinary incontinence]
M Bazzocchi1, C Cressa, P Pellegrini
1Istituto di Radiologia, Università di Trieste.
La Radiologia Medica
|April 1, 1988
Summary
A new mictional cystourethrography technique simplifies imaging and reduces radiation exposure. This method correlates bladder floor position with urinary incontinence, finding higher positions in incontinent patients.
Area of Science:
- Urology
- Radiology
- Medical Imaging
Background:
- Urinary incontinence diagnosis often relies on complex imaging techniques.
- Accurate assessment of bladder neck and urethral anatomy is crucial for understanding incontinence.
Purpose of the Study:
- To introduce a novel, simplified technique for mictional cystourethrography.
- To evaluate the correlation between bladder floor position and urinary incontinence.
- To assess the technique's ability to visualize key anatomical structures.
Main Methods:
- A new sitting position for mictional cystourethrography was developed using a radiolucent chair and footstool.
- Fifty patients (26 continent, 24 incontinent) underwent the new examination.
- Analysis focused on bladder neck position, vesico-urethral angles, urethral evaluation, and bladder floor position relative to obturator foramina.
Main Results:
- The technique successfully evaluated bladder neck, vesico-urethral angles, and urethra.
- Bladder floor position relative to obturator foramina was accurately determined.
- A higher bladder floor position was observed in incontinent patients compared to continent patients.
- A low bladder baseplate position was frequently associated with incontinence.
Conclusions:
- The developed mictional cystourethrography technique is simple, reproducible, and reduces X-ray dose.
- Bladder floor position is a potentially significant indicator for urinary incontinence.
- This method offers valuable anatomical insights for incontinence assessment.