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Related Concept Videos

Ultrasonography01:17

Ultrasonography

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Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
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Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
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Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
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Related Experiment Video

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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
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Enhanced Non-Invasive Diagnosis of Female Urinary Incontinence Using Static and Functional Transperineal

Milosz Pietrus1, Kazimierz Pityński1, Maciej W Socha2

  • 1Department of Gynecology and Oncology, Faculty of Medicine, Jagiellonian University Medical College, 31-501 Kraków, Poland.

Diagnostics (Basel, Switzerland)
|November 27, 2024
PubMed
Summary

Transperineal ultrasound effectively detects stress urinary incontinence (SUI). Key indicators include bladder-symphysis distance changes, urethral diameter, and funneling sign during the Valsalva maneuver.

Keywords:
pelvic floor ultrasoundstress urinary incontinencetransperineal ultrasound

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Area of Science:

  • Urogynecology
  • Medical Imaging
  • Diagnostic Ultrasound

Background:

  • Stress urinary incontinence (SUI) significantly impacts women's quality of life.
  • Accurate diagnosis of SUI is crucial for effective treatment planning.
  • Transperineal ultrasound offers a non-invasive imaging modality for pelvic floor assessment.

Purpose of the Study:

  • To evaluate the diagnostic utility of transperineal ultrasound in women with SUI.
  • To identify specific anatomical and functional ultrasound parameters associated with SUI.
  • To determine optimal cut-off values for these parameters in SUI detection.

Main Methods:

  • A case-control study involving 34 women with SUI and a control group.
  • Transperineal ultrasound imaging was performed at rest and during Valsalva maneuver.
  • Logistic regression analysis was used to assess the association between ultrasound parameters and SUI.

Main Results:

  • The difference in bladder-symphysis distance (BSD) during Valsalva maneuver (OR: 1.15), mean urethral diameter (UD; OR: 4.29), and the presence of the funneling sign (OR: 21) were significantly associated with SUI.
  • Optimal cut-off for BSD was >8 mm (AUC: 0.71) and for UD was >6 mm (AUC: 0.84).
  • High sensitivity and specificity were observed for both BSD and UD at their optimal cut-off values.

Conclusions:

  • Transperineal ultrasonography is a valuable tool for diagnosing stress urinary incontinence.
  • Urethral diameter and bladder-symphysis distance changes during Valsalva maneuver are key sonographic indicators of SUI.
  • This imaging technique aids in identifying specific parameters for SUI diagnosis.