Real-time assessment of the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound
Introduction and hypothesis The objective was to describe the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound (TPUS). Method We carried out prospective data collection and a retrosp...
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| Veröffentlicht in: | International Urogynecology Journal 2020-12, Vol.31 (12), p.2515-2519 |
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| description | Introduction and hypothesis
The objective was to describe the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound (TPUS).
Method
We carried out prospective data collection and a retrospective data analysis of 102 women with stress urinary incontinence (SUI) who had a positive CST with TPUS in the supine and/or standing position. On TPUS, the behaviour of the bladder neck and proximal urethra was described by the urethral length, urethral funnelling, bladder neck descent (BND), retrovesical angle (RVA) and urethral rotation angle (URA). Differences between the ultrasound findings in the two positions were evaluated.
Results
In the 102 women, the mean age was 48 years and mean BMI was 23.8 kg/m
2
. On TPUS, urine leakage was detected in the supine or standing position in 102 women and in both positions in 81. Between the two positions, significant differences were found in the URA and RVA. In the standing position, the median RVA of 166° was significantly larger than that of 133° in the supine position (
p
|
| doi_str_mv | 10.1007/s00192-020-04273-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7679264</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2473316851</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-21256e4594de5f2bf05557dc9f23046657becc6a3ce8483e123abb4cf959527f3</originalsourceid><addsrcrecordid>eNp9Uk1v1DAQjRCIbgt_gAOyxKUcAv5MNhekasWXVAkJytlynMlu2sQOHqeFv8cvq90ty8eBy1jjee-Nx_OK4hmjrxil9WuklDW8pJyWVPJalDcPihWTQpSCcvGwWNFG1KWQFT8qjhEvKaWSKvq4OBKcN0zWYlX8_AxmLOMwATGIgDiBi8T3JO6AtLAz14NfwuFiNF0HgTiwV8S4jszBfx8mM5IlQNwFQ7olDG5LcgQygrnK2eDu2NYv2x3BGFIbEgEjOd18uXiZy7jMmZAlMaaYWbPHIQ7eIVkw5zEYhzNk5dxwTDn6xXVPike9GRGe3p8nxdd3by82H8rzT-8_bs7OSytrGUvOuKpAqkZ2oHre9lQpVXe26bmgsqpU3YK1lREW1nItgHFh2lbavlGN4nUvToo3e915aSfobPqoYEY9h_QB4Yf2ZtB_V9yw01t_reuqbnglk8DpvUDw35Y0v54GtDCOxoFfUHPRUFZRylWCvvgHepnW4NJ4mqe9CVatFUsovkfZ4BED9IfHMKqzRfTeIjpZRN9ZRN8k0vM_xzhQfnkiAcQegHPeJYTfvf8jewucy8yc</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2473316851</pqid></control><display><type>article</type><title>Real-time assessment of the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound</title><source>SpringerLink Journals - AutoHoldings</source><creator>Wen, Lieming ; Zhao, Baihua ; Chen, Wenjie ; Qing, Zhenzhen ; Liu, Minghui</creator><creatorcontrib>Wen, Lieming ; Zhao, Baihua ; Chen, Wenjie ; Qing, Zhenzhen ; Liu, Minghui</creatorcontrib><description>Introduction and hypothesis
The objective was to describe the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound (TPUS).
Method
We carried out prospective data collection and a retrospective data analysis of 102 women with stress urinary incontinence (SUI) who had a positive CST with TPUS in the supine and/or standing position. On TPUS, the behaviour of the bladder neck and proximal urethra was described by the urethral length, urethral funnelling, bladder neck descent (BND), retrovesical angle (RVA) and urethral rotation angle (URA). Differences between the ultrasound findings in the two positions were evaluated.
Results
In the 102 women, the mean age was 48 years and mean BMI was 23.8 kg/m
2
. On TPUS, urine leakage was detected in the supine or standing position in 102 women and in both positions in 81. Between the two positions, significant differences were found in the URA and RVA. In the standing position, the median RVA of 166° was significantly larger than that of 133° in the supine position (
p
< 0.001), and the median URA of 35° was significantly smaller than that of 64° in the supine position (
p
< 0.001).
Conclusions
TPUS in both positions can be used to detect the real-time behaviour of the bladder neck and urethra in the CST. In the standing position, less rotation and more straightening of the bladder neck and proximal urethra occurred during urine leakage.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-020-04273-w</identifier><identifier>PMID: 32291473</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Bladder ; Gynecology ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Ultrasonic imaging ; Urine ; Urology</subject><ispartof>International Urogynecology Journal, 2020-12, Vol.31 (12), p.2515-2519</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-21256e4594de5f2bf05557dc9f23046657becc6a3ce8483e123abb4cf959527f3</citedby><cites>FETCH-LOGICAL-c474t-21256e4594de5f2bf05557dc9f23046657becc6a3ce8483e123abb4cf959527f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-020-04273-w$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-020-04273-w$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32291473$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wen, Lieming</creatorcontrib><creatorcontrib>Zhao, Baihua</creatorcontrib><creatorcontrib>Chen, Wenjie</creatorcontrib><creatorcontrib>Qing, Zhenzhen</creatorcontrib><creatorcontrib>Liu, Minghui</creatorcontrib><title>Real-time assessment of the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
The objective was to describe the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound (TPUS).
Method
We carried out prospective data collection and a retrospective data analysis of 102 women with stress urinary incontinence (SUI) who had a positive CST with TPUS in the supine and/or standing position. On TPUS, the behaviour of the bladder neck and proximal urethra was described by the urethral length, urethral funnelling, bladder neck descent (BND), retrovesical angle (RVA) and urethral rotation angle (URA). Differences between the ultrasound findings in the two positions were evaluated.
Results
In the 102 women, the mean age was 48 years and mean BMI was 23.8 kg/m
2
. On TPUS, urine leakage was detected in the supine or standing position in 102 women and in both positions in 81. Between the two positions, significant differences were found in the URA and RVA. In the standing position, the median RVA of 166° was significantly larger than that of 133° in the supine position (
p
< 0.001), and the median URA of 35° was significantly smaller than that of 64° in the supine position (
p
< 0.001).
Conclusions
TPUS in both positions can be used to detect the real-time behaviour of the bladder neck and urethra in the CST. In the standing position, less rotation and more straightening of the bladder neck and proximal urethra occurred during urine leakage.</description><subject>Bladder</subject><subject>Gynecology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Ultrasonic imaging</subject><subject>Urine</subject><subject>Urology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9Uk1v1DAQjRCIbgt_gAOyxKUcAv5MNhekasWXVAkJytlynMlu2sQOHqeFv8cvq90ty8eBy1jjee-Nx_OK4hmjrxil9WuklDW8pJyWVPJalDcPihWTQpSCcvGwWNFG1KWQFT8qjhEvKaWSKvq4OBKcN0zWYlX8_AxmLOMwATGIgDiBi8T3JO6AtLAz14NfwuFiNF0HgTiwV8S4jszBfx8mM5IlQNwFQ7olDG5LcgQygrnK2eDu2NYv2x3BGFIbEgEjOd18uXiZy7jMmZAlMaaYWbPHIQ7eIVkw5zEYhzNk5dxwTDn6xXVPike9GRGe3p8nxdd3by82H8rzT-8_bs7OSytrGUvOuKpAqkZ2oHre9lQpVXe26bmgsqpU3YK1lREW1nItgHFh2lbavlGN4nUvToo3e915aSfobPqoYEY9h_QB4Yf2ZtB_V9yw01t_reuqbnglk8DpvUDw35Y0v54GtDCOxoFfUHPRUFZRylWCvvgHepnW4NJ4mqe9CVatFUsovkfZ4BED9IfHMKqzRfTeIjpZRN9ZRN8k0vM_xzhQfnkiAcQegHPeJYTfvf8jewucy8yc</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Wen, Lieming</creator><creator>Zhao, Baihua</creator><creator>Chen, Wenjie</creator><creator>Qing, Zhenzhen</creator><creator>Liu, Minghui</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</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><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201201</creationdate><title>Real-time assessment of the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound</title><author>Wen, Lieming ; Zhao, Baihua ; Chen, Wenjie ; Qing, Zhenzhen ; Liu, Minghui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-21256e4594de5f2bf05557dc9f23046657becc6a3ce8483e123abb4cf959527f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Bladder</topic><topic>Gynecology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Ultrasonic imaging</topic><topic>Urine</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wen, Lieming</creatorcontrib><creatorcontrib>Zhao, Baihua</creatorcontrib><creatorcontrib>Chen, Wenjie</creatorcontrib><creatorcontrib>Qing, Zhenzhen</creatorcontrib><creatorcontrib>Liu, Minghui</creatorcontrib><collection>Springer Nature OA Free Journals</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><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wen, Lieming</au><au>Zhao, Baihua</au><au>Chen, Wenjie</au><au>Qing, Zhenzhen</au><au>Liu, Minghui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Real-time assessment of the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>31</volume><issue>12</issue><spage>2515</spage><epage>2519</epage><pages>2515-2519</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
The objective was to describe the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound (TPUS).
Method
We carried out prospective data collection and a retrospective data analysis of 102 women with stress urinary incontinence (SUI) who had a positive CST with TPUS in the supine and/or standing position. On TPUS, the behaviour of the bladder neck and proximal urethra was described by the urethral length, urethral funnelling, bladder neck descent (BND), retrovesical angle (RVA) and urethral rotation angle (URA). Differences between the ultrasound findings in the two positions were evaluated.
Results
In the 102 women, the mean age was 48 years and mean BMI was 23.8 kg/m
2
. On TPUS, urine leakage was detected in the supine or standing position in 102 women and in both positions in 81. Between the two positions, significant differences were found in the URA and RVA. In the standing position, the median RVA of 166° was significantly larger than that of 133° in the supine position (
p
< 0.001), and the median URA of 35° was significantly smaller than that of 64° in the supine position (
p
< 0.001).
Conclusions
TPUS in both positions can be used to detect the real-time behaviour of the bladder neck and urethra in the CST. In the standing position, less rotation and more straightening of the bladder neck and proximal urethra occurred during urine leakage.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32291473</pmid><doi>10.1007/s00192-020-04273-w</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Bladder Gynecology Medicine Medicine & Public Health Original Original Article Ultrasonic imaging Urine Urology |
| title | Real-time assessment of the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound |
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