MRI morphology of the levator ani muscle, endopelvic fascia, and urethra in women with stress urinary incontinence
To evaluate pathomorphologic changes of the levator ani muscle, endopelvic fascia, and urethra in women with stress urinary incontinence (SUI) by MRI. Fifty-four women with SUI were examined by MRI (1.5 T): body phased-array coil, axial and coronal proton-density-weighted sequences. The urethral sph...
Gespeichert in:
| Veröffentlicht in: | European journal of obstetrics & gynecology and reproductive biology 2006-06, Vol.126 (2), p.239-245 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 245 |
|---|---|
| container_issue | 2 |
| container_start_page | 239 |
| container_title | European journal of obstetrics & gynecology and reproductive biology |
| container_volume | 126 |
| creator | Tunn, Ralf Goldammer, Kathrin Neymeyer, Jörg Gauruder-Burmester, Annett Hamm, Bernd Beyersdorff, Dirk |
| description | To evaluate pathomorphologic changes of the levator ani muscle, endopelvic fascia, and urethra in women with stress urinary incontinence (SUI) by MRI.
Fifty-four women with SUI were examined by MRI (1.5
T): body phased-array coil, axial and coronal proton-density-weighted sequences.
The urethral sphincter muscle showed a reduced thickness of its posterior portion (37%), an omega shape (13%) or higher signal intensity (50%); its abnormal configuration was associated with an increased signal intensity in 70% (
p
=
0.001). The levator ani muscle comprised an unilateral loss of substance in 30%, a higher signal intensity in 28%, and alterated origin in 19%. Central defects of the endopelvic fascia were present in 39% (
n
=
21), lateral defects in 46%. There was a significant association between loss of the symphyseal concavity of the anterior vaginal wall and lateral fascial defects (
p
=
0.001) and levator ani changes (
p
=
0.016).
MRI yields findings supporting current theories on the pathogenesis of SUI. |
| doi_str_mv | 10.1016/j.ejogrb.2005.10.018 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68018789</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S030121150500566X</els_id><sourcerecordid>68018789</sourcerecordid><originalsourceid>FETCH-LOGICAL-c390t-1b176ad1e09cd3aff4a773405a2d03e7d07788a7e70117e47dbbac587a0a6fcf3</originalsourceid><addsrcrecordid>eNp9kFFrFDEQx4Mo9lr9BiJ50afumWx2N9kXoRSthYog-hxmk0kvx-7mTLIn_fZmuYO-mYcE5v-byfAj5B1nW85492m_xX14jMO2ZqwtpS3j6gXZcCXrSnZt85JsmGC8qjlvL8hlSntWjhD9a3LBu7pXTLQbEr__vKdTiIddGMPjEw2O5h3SEY-QQ6QwezotyYx4TXG24YDj0RvqIBkP1yW2dImYdxGon-nfMGG5fd7RlCOmVEI_Q3wqoQlz9jPOBt-QVw7GhG_P7xX5_fXLr9tv1cOPu_vbm4fKiJ7lig9cdmA5st5YAc41IKVoWAu1ZQKlZVIqBRIl41xiI-0wgGmVBAadM05ckY-nuYcY_iyYsp58MjiOMGNYku5UMSZVX8DmBJoYUoro9CH6qaytOdOra73XJ9d6db1WS2dpe3-evwwT2uems9wCfDgDRReMLsJsfHrmpBKqFev_n08cFhtHj1EXu6sp6yOarG3w_9_kHyaOoKA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68018789</pqid></control><display><type>article</type><title>MRI morphology of the levator ani muscle, endopelvic fascia, and urethra in women with stress urinary incontinence</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Tunn, Ralf ; Goldammer, Kathrin ; Neymeyer, Jörg ; Gauruder-Burmester, Annett ; Hamm, Bernd ; Beyersdorff, Dirk</creator><creatorcontrib>Tunn, Ralf ; Goldammer, Kathrin ; Neymeyer, Jörg ; Gauruder-Burmester, Annett ; Hamm, Bernd ; Beyersdorff, Dirk</creatorcontrib><description>To evaluate pathomorphologic changes of the levator ani muscle, endopelvic fascia, and urethra in women with stress urinary incontinence (SUI) by MRI.
Fifty-four women with SUI were examined by MRI (1.5
T): body phased-array coil, axial and coronal proton-density-weighted sequences.
The urethral sphincter muscle showed a reduced thickness of its posterior portion (37%), an omega shape (13%) or higher signal intensity (50%); its abnormal configuration was associated with an increased signal intensity in 70% (
p
=
0.001). The levator ani muscle comprised an unilateral loss of substance in 30%, a higher signal intensity in 28%, and alterated origin in 19%. Central defects of the endopelvic fascia were present in 39% (
n
=
21), lateral defects in 46%. There was a significant association between loss of the symphyseal concavity of the anterior vaginal wall and lateral fascial defects (
p
=
0.001) and levator ani changes (
p
=
0.016).
MRI yields findings supporting current theories on the pathogenesis of SUI.</description><identifier>ISSN: 0301-2115</identifier><identifier>EISSN: 1872-7654</identifier><identifier>DOI: 10.1016/j.ejogrb.2005.10.018</identifier><identifier>PMID: 16298035</identifier><identifier>CODEN: EOGRAL</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adult ; Aged ; Anal Canal - pathology ; Biological and medical sciences ; Fascia - pathology ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Magnetic Resonance Imaging ; Medical sciences ; Middle Aged ; MR imaging ; Nephrology. Urinary tract diseases ; Pelvic floor ; Pelvic Floor - pathology ; Urethra ; Urethra - pathology ; Urinary incontinence ; Urinary Incontinence, Stress - pathology ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract. Prostate gland</subject><ispartof>European journal of obstetrics & gynecology and reproductive biology, 2006-06, Vol.126 (2), p.239-245</ispartof><rights>2005 Elsevier Ireland Ltd</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-1b176ad1e09cd3aff4a773405a2d03e7d07788a7e70117e47dbbac587a0a6fcf3</citedby><cites>FETCH-LOGICAL-c390t-1b176ad1e09cd3aff4a773405a2d03e7d07788a7e70117e47dbbac587a0a6fcf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S030121150500566X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17838539$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16298035$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tunn, Ralf</creatorcontrib><creatorcontrib>Goldammer, Kathrin</creatorcontrib><creatorcontrib>Neymeyer, Jörg</creatorcontrib><creatorcontrib>Gauruder-Burmester, Annett</creatorcontrib><creatorcontrib>Hamm, Bernd</creatorcontrib><creatorcontrib>Beyersdorff, Dirk</creatorcontrib><title>MRI morphology of the levator ani muscle, endopelvic fascia, and urethra in women with stress urinary incontinence</title><title>European journal of obstetrics & gynecology and reproductive biology</title><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><description>To evaluate pathomorphologic changes of the levator ani muscle, endopelvic fascia, and urethra in women with stress urinary incontinence (SUI) by MRI.
Fifty-four women with SUI were examined by MRI (1.5
T): body phased-array coil, axial and coronal proton-density-weighted sequences.
The urethral sphincter muscle showed a reduced thickness of its posterior portion (37%), an omega shape (13%) or higher signal intensity (50%); its abnormal configuration was associated with an increased signal intensity in 70% (
p
=
0.001). The levator ani muscle comprised an unilateral loss of substance in 30%, a higher signal intensity in 28%, and alterated origin in 19%. Central defects of the endopelvic fascia were present in 39% (
n
=
21), lateral defects in 46%. There was a significant association between loss of the symphyseal concavity of the anterior vaginal wall and lateral fascial defects (
p
=
0.001) and levator ani changes (
p
=
0.016).
MRI yields findings supporting current theories on the pathogenesis of SUI.</description><subject>Adult</subject><subject>Aged</subject><subject>Anal Canal - pathology</subject><subject>Biological and medical sciences</subject><subject>Fascia - pathology</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>MR imaging</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Pelvic floor</subject><subject>Pelvic Floor - pathology</subject><subject>Urethra</subject><subject>Urethra - pathology</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence, Stress - pathology</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. Prostate gland</subject><issn>0301-2115</issn><issn>1872-7654</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kFFrFDEQx4Mo9lr9BiJ50afumWx2N9kXoRSthYog-hxmk0kvx-7mTLIn_fZmuYO-mYcE5v-byfAj5B1nW85492m_xX14jMO2ZqwtpS3j6gXZcCXrSnZt85JsmGC8qjlvL8hlSntWjhD9a3LBu7pXTLQbEr__vKdTiIddGMPjEw2O5h3SEY-QQ6QwezotyYx4TXG24YDj0RvqIBkP1yW2dImYdxGon-nfMGG5fd7RlCOmVEI_Q3wqoQlz9jPOBt-QVw7GhG_P7xX5_fXLr9tv1cOPu_vbm4fKiJ7lig9cdmA5st5YAc41IKVoWAu1ZQKlZVIqBRIl41xiI-0wgGmVBAadM05ckY-nuYcY_iyYsp58MjiOMGNYku5UMSZVX8DmBJoYUoro9CH6qaytOdOra73XJ9d6db1WS2dpe3-evwwT2uems9wCfDgDRReMLsJsfHrmpBKqFev_n08cFhtHj1EXu6sp6yOarG3w_9_kHyaOoKA</recordid><startdate>20060601</startdate><enddate>20060601</enddate><creator>Tunn, Ralf</creator><creator>Goldammer, Kathrin</creator><creator>Neymeyer, Jörg</creator><creator>Gauruder-Burmester, Annett</creator><creator>Hamm, Bernd</creator><creator>Beyersdorff, Dirk</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20060601</creationdate><title>MRI morphology of the levator ani muscle, endopelvic fascia, and urethra in women with stress urinary incontinence</title><author>Tunn, Ralf ; Goldammer, Kathrin ; Neymeyer, Jörg ; Gauruder-Burmester, Annett ; Hamm, Bernd ; Beyersdorff, Dirk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-1b176ad1e09cd3aff4a773405a2d03e7d07788a7e70117e47dbbac587a0a6fcf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anal Canal - pathology</topic><topic>Biological and medical sciences</topic><topic>Fascia - pathology</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>MR imaging</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Pelvic floor</topic><topic>Pelvic Floor - pathology</topic><topic>Urethra</topic><topic>Urethra - pathology</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence, Stress - pathology</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tunn, Ralf</creatorcontrib><creatorcontrib>Goldammer, Kathrin</creatorcontrib><creatorcontrib>Neymeyer, Jörg</creatorcontrib><creatorcontrib>Gauruder-Burmester, Annett</creatorcontrib><creatorcontrib>Hamm, Bernd</creatorcontrib><creatorcontrib>Beyersdorff, Dirk</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tunn, Ralf</au><au>Goldammer, Kathrin</au><au>Neymeyer, Jörg</au><au>Gauruder-Burmester, Annett</au><au>Hamm, Bernd</au><au>Beyersdorff, Dirk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MRI morphology of the levator ani muscle, endopelvic fascia, and urethra in women with stress urinary incontinence</atitle><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><date>2006-06-01</date><risdate>2006</risdate><volume>126</volume><issue>2</issue><spage>239</spage><epage>245</epage><pages>239-245</pages><issn>0301-2115</issn><eissn>1872-7654</eissn><coden>EOGRAL</coden><abstract>To evaluate pathomorphologic changes of the levator ani muscle, endopelvic fascia, and urethra in women with stress urinary incontinence (SUI) by MRI.
Fifty-four women with SUI were examined by MRI (1.5
T): body phased-array coil, axial and coronal proton-density-weighted sequences.
The urethral sphincter muscle showed a reduced thickness of its posterior portion (37%), an omega shape (13%) or higher signal intensity (50%); its abnormal configuration was associated with an increased signal intensity in 70% (
p
=
0.001). The levator ani muscle comprised an unilateral loss of substance in 30%, a higher signal intensity in 28%, and alterated origin in 19%. Central defects of the endopelvic fascia were present in 39% (
n
=
21), lateral defects in 46%. There was a significant association between loss of the symphyseal concavity of the anterior vaginal wall and lateral fascial defects (
p
=
0.001) and levator ani changes (
p
=
0.016).
MRI yields findings supporting current theories on the pathogenesis of SUI.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>16298035</pmid><doi>10.1016/j.ejogrb.2005.10.018</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0301-2115 |
| ispartof | European journal of obstetrics & gynecology and reproductive biology, 2006-06, Vol.126 (2), p.239-245 |
| issn | 0301-2115 1872-7654 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68018789 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Anal Canal - pathology Biological and medical sciences Fascia - pathology Female Gynecology. Andrology. Obstetrics Humans Magnetic Resonance Imaging Medical sciences Middle Aged MR imaging Nephrology. Urinary tract diseases Pelvic floor Pelvic Floor - pathology Urethra Urethra - pathology Urinary incontinence Urinary Incontinence, Stress - pathology Urinary system involvement in other diseases. Miscellaneous Urinary tract. Prostate gland |
| title | MRI morphology of the levator ani muscle, endopelvic fascia, and urethra in women with stress urinary incontinence |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-15T01%3A51%3A48IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=MRI%20morphology%20of%20the%20levator%20ani%20muscle,%20endopelvic%20fascia,%20and%20urethra%20in%20women%20with%20stress%20urinary%20incontinence&rft.jtitle=European%20journal%20of%20obstetrics%20&%20gynecology%20and%20reproductive%20biology&rft.au=Tunn,%20Ralf&rft.date=2006-06-01&rft.volume=126&rft.issue=2&rft.spage=239&rft.epage=245&rft.pages=239-245&rft.issn=0301-2115&rft.eissn=1872-7654&rft.coden=EOGRAL&rft_id=info:doi/10.1016/j.ejogrb.2005.10.018&rft_dat=%3Cproquest_cross%3E68018789%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=68018789&rft_id=info:pmid/16298035&rft_els_id=S030121150500566X&rfr_iscdi=true |