Effect of intra-abdominal position of the bladder neck and stability of its supporting structures on pressure transmission ratio after colposuspension
The aim of this prospective study was to evaluate the influence of the higher intra-abdominal position of the bladder neck and the stability of its supporting structures after colposuspension, on pressure transmission to the urethra at the level of the bladder neck. Twenty-eight patients were includ...
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| Veröffentlicht in: | International Urogynecology Journal 2000-03, Vol.11 (2), p.97-102 |
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| description | The aim of this prospective study was to evaluate the influence of the higher intra-abdominal position of the bladder neck and the stability of its supporting structures after colposuspension, on pressure transmission to the urethra at the level of the bladder neck. Twenty-eight patients were included in the study. The pressure transmission ratio (PTR) was calculated at the level of the bladder neck, whereas the position and mobility of the bladder neck during coughing were evaluated with perineal ultrasound examination. The measurements were performed before and 3 months after colposuspension. After colposuspension we found a significant elevation of the PTR (P=0.001), a significantly higher intra-abdominal position (P=0.001) and decreased mobility (P=0.001) of the bladder neck during coughing. Also, a negative correlation between the elevation of PTR and decreased mobility of the bladder neck during coughing (r = -0.5049; P = 0.006) and a weak correlation between the elevation of PTR and a higher intra-abdominal position of the bladder neck during coughing were found (r = 0.3828; P=0.044). Reinforced tension resistance of the bladder neck supporting structures seems to be more important than intra-abdominal position of the bladder neck in achieving effective pressure transmission after colposuspension. |
| doi_str_mv | 10.1007/s001920050078 |
| format | Article |
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Twenty-eight patients were included in the study. The pressure transmission ratio (PTR) was calculated at the level of the bladder neck, whereas the position and mobility of the bladder neck during coughing were evaluated with perineal ultrasound examination. The measurements were performed before and 3 months after colposuspension. After colposuspension we found a significant elevation of the PTR (P=0.001), a significantly higher intra-abdominal position (P=0.001) and decreased mobility (P=0.001) of the bladder neck during coughing. Also, a negative correlation between the elevation of PTR and decreased mobility of the bladder neck during coughing (r = -0.5049; P = 0.006) and a weak correlation between the elevation of PTR and a higher intra-abdominal position of the bladder neck during coughing were found (r = 0.3828; P=0.044). Reinforced tension resistance of the bladder neck supporting structures seems to be more important than intra-abdominal position of the bladder neck in achieving effective pressure transmission after colposuspension.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s001920050078</identifier><identifier>PMID: 10805267</identifier><language>eng</language><publisher>England: Springer Nature B.V</publisher><subject>Adult ; Bladder ; Female ; Humans ; Middle Aged ; Postoperative Complications - diagnostic imaging ; Postoperative Complications - physiopathology ; Prospective Studies ; Studies ; Suture Techniques ; Ultrasonography ; Urethra - diagnostic imaging ; Urethra - physiopathology ; Urethra - surgery ; Urinary Bladder - diagnostic imaging ; Urinary Bladder - physiopathology ; Urinary Bladder - surgery ; Urinary Incontinence, Stress - diagnostic imaging ; Urinary Incontinence, Stress - physiopathology ; Urinary Incontinence, Stress - surgery ; Urodynamics - physiology ; Uterine Prolapse - diagnostic imaging ; Uterine Prolapse - physiopathology ; Uterine Prolapse - surgery ; Vagina - diagnostic imaging ; Vagina - physiopathology ; Vagina - surgery</subject><ispartof>International Urogynecology Journal, 2000-03, Vol.11 (2), p.97-102</ispartof><rights>Springer-Verlag London Limited 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c285t-51627fb16f083969d817d38581f65dbacaf8a6d8113d60029f8296dc6d0e41ba3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10805267$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barbic, M</creatorcontrib><creatorcontrib>Kralj, B</creatorcontrib><title>Effect of intra-abdominal position of the bladder neck and stability of its supporting structures on pressure transmission ratio after colposuspension</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J Pelvic Floor Dysfunct</addtitle><description>The aim of this prospective study was to evaluate the influence of the higher intra-abdominal position of the bladder neck and the stability of its supporting structures after colposuspension, on pressure transmission to the urethra at the level of the bladder neck. Twenty-eight patients were included in the study. The pressure transmission ratio (PTR) was calculated at the level of the bladder neck, whereas the position and mobility of the bladder neck during coughing were evaluated with perineal ultrasound examination. The measurements were performed before and 3 months after colposuspension. After colposuspension we found a significant elevation of the PTR (P=0.001), a significantly higher intra-abdominal position (P=0.001) and decreased mobility (P=0.001) of the bladder neck during coughing. Also, a negative correlation between the elevation of PTR and decreased mobility of the bladder neck during coughing (r = -0.5049; P = 0.006) and a weak correlation between the elevation of PTR and a higher intra-abdominal position of the bladder neck during coughing were found (r = 0.3828; P=0.044). Reinforced tension resistance of the bladder neck supporting structures seems to be more important than intra-abdominal position of the bladder neck in achieving effective pressure transmission after colposuspension.</description><subject>Adult</subject><subject>Bladder</subject><subject>Female</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - physiopathology</subject><subject>Prospective Studies</subject><subject>Studies</subject><subject>Suture Techniques</subject><subject>Ultrasonography</subject><subject>Urethra - diagnostic imaging</subject><subject>Urethra - physiopathology</subject><subject>Urethra - surgery</subject><subject>Urinary Bladder - diagnostic imaging</subject><subject>Urinary Bladder - physiopathology</subject><subject>Urinary Bladder - surgery</subject><subject>Urinary Incontinence, Stress - diagnostic imaging</subject><subject>Urinary Incontinence, Stress - physiopathology</subject><subject>Urinary Incontinence, Stress - surgery</subject><subject>Urodynamics - physiology</subject><subject>Uterine Prolapse - diagnostic imaging</subject><subject>Uterine Prolapse - physiopathology</subject><subject>Uterine Prolapse - surgery</subject><subject>Vagina - diagnostic imaging</subject><subject>Vagina - physiopathology</subject><subject>Vagina - surgery</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpVkT1PwzAQhi0EoqUwsiKLPXCOE8cZUVU-pEosMEdObINLGgefM_SP8HtxKQNMp_P7-DnZR8glgxsGUN0iAKtzgDI18ojMWcF5xiHnx2QONa8yXoh8Rs4QNwBQJO6UzBhIKHNRzcnXylrTReotdUMMKlOt9ls3qJ6OHl10fthn8d3Qtldam0AH031QNWiKUbWud3H3czsixWkcfYhueEtZmLo4BYM0GcZUMTU0TRhw6xD33qCSniobk7TzfZo34WiGfXZOTqzq0Vz81gV5vV-9LB-z9fPD0_JunXW5LGNWMpFXtmXCguS1qLVkleaylMyKUreqU1YqkU4Z1wIgr63Ma6E7ocEUrFV8Qa4P3jH4z8lgbDZ-Cun12EjJuKylKBOUHaAueMRgbDMGt1Vh1zBo9kto_i0h8Ve_0qndGv2HPvw6_wbZ94U9</recordid><startdate>20000301</startdate><enddate>20000301</enddate><creator>Barbic, M</creator><creator>Kralj, B</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20000301</creationdate><title>Effect of intra-abdominal position of the bladder neck and stability of its supporting structures on pressure transmission ratio after colposuspension</title><author>Barbic, M ; Kralj, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c285t-51627fb16f083969d817d38581f65dbacaf8a6d8113d60029f8296dc6d0e41ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Bladder</topic><topic>Female</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - physiopathology</topic><topic>Prospective Studies</topic><topic>Studies</topic><topic>Suture Techniques</topic><topic>Ultrasonography</topic><topic>Urethra - diagnostic imaging</topic><topic>Urethra - physiopathology</topic><topic>Urethra - surgery</topic><topic>Urinary Bladder - diagnostic imaging</topic><topic>Urinary Bladder - physiopathology</topic><topic>Urinary Bladder - surgery</topic><topic>Urinary Incontinence, Stress - diagnostic imaging</topic><topic>Urinary Incontinence, Stress - physiopathology</topic><topic>Urinary Incontinence, Stress - surgery</topic><topic>Urodynamics - physiology</topic><topic>Uterine Prolapse - diagnostic imaging</topic><topic>Uterine Prolapse - physiopathology</topic><topic>Uterine Prolapse - surgery</topic><topic>Vagina - diagnostic imaging</topic><topic>Vagina - physiopathology</topic><topic>Vagina - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barbic, M</creatorcontrib><creatorcontrib>Kralj, B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barbic, M</au><au>Kralj, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of intra-abdominal position of the bladder neck and stability of its supporting structures on pressure transmission ratio after colposuspension</atitle><jtitle>International Urogynecology Journal</jtitle><addtitle>Int Urogynecol J Pelvic Floor Dysfunct</addtitle><date>2000-03-01</date><risdate>2000</risdate><volume>11</volume><issue>2</issue><spage>97</spage><epage>102</epage><pages>97-102</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>The aim of this prospective study was to evaluate the influence of the higher intra-abdominal position of the bladder neck and the stability of its supporting structures after colposuspension, on pressure transmission to the urethra at the level of the bladder neck. Twenty-eight patients were included in the study. The pressure transmission ratio (PTR) was calculated at the level of the bladder neck, whereas the position and mobility of the bladder neck during coughing were evaluated with perineal ultrasound examination. The measurements were performed before and 3 months after colposuspension. After colposuspension we found a significant elevation of the PTR (P=0.001), a significantly higher intra-abdominal position (P=0.001) and decreased mobility (P=0.001) of the bladder neck during coughing. Also, a negative correlation between the elevation of PTR and decreased mobility of the bladder neck during coughing (r = -0.5049; P = 0.006) and a weak correlation between the elevation of PTR and a higher intra-abdominal position of the bladder neck during coughing were found (r = 0.3828; P=0.044). Reinforced tension resistance of the bladder neck supporting structures seems to be more important than intra-abdominal position of the bladder neck in achieving effective pressure transmission after colposuspension.</abstract><cop>England</cop><pub>Springer Nature B.V</pub><pmid>10805267</pmid><doi>10.1007/s001920050078</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Bladder Female Humans Middle Aged Postoperative Complications - diagnostic imaging Postoperative Complications - physiopathology Prospective Studies Studies Suture Techniques Ultrasonography Urethra - diagnostic imaging Urethra - physiopathology Urethra - surgery Urinary Bladder - diagnostic imaging Urinary Bladder - physiopathology Urinary Bladder - surgery Urinary Incontinence, Stress - diagnostic imaging Urinary Incontinence, Stress - physiopathology Urinary Incontinence, Stress - surgery Urodynamics - physiology Uterine Prolapse - diagnostic imaging Uterine Prolapse - physiopathology Uterine Prolapse - surgery Vagina - diagnostic imaging Vagina - physiopathology Vagina - surgery |
| title | Effect of intra-abdominal position of the bladder neck and stability of its supporting structures on pressure transmission ratio after colposuspension |
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