Ultrasound Characteristics of the Urethro-Vesical Segment in Women with Stress Urinary Incontinence

Journal of Clinical Medicine of Kazakhstan, 2025

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DOI 10.23950/jcmk/16257
Data confidence 70 medium
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Abstract

Introduction. This article highlights the clinical use of pelvic floor ultrasound to image the urethra-vesical segment in women with stress urinary incontinence. Methods. The features of the urethro-vesical segment were compared between healthy women and female patients with stress urinary incontinence. Results. Significant differences were found between the groups in such parameters as pubo-urethral distance, urethral diameter, α angle and its deviation and the deviation of β angle. These parameters were significantly higher in the SUI group. Conclusion. Transperineal ultrasonography is a practical, reliable, non-invasive and comfortable method for the SUI evaluation. The advantage of ultrasound is the dynamic assessment of urethro-vesical segment parameters during the Valsalva maneuver, which reliably reflects urethral hypermobility and correlates with the SUI symptoms. Keywords: Stress urinary incontinence, transperineal ultrasound, hypermobility of urethra, intrinsic sphincter deficiency.