Ultrasonic prediction of stress urinary incontinence development in surgery for severe pelvic relaxation.
Forty-six patients with a third-degree cystocele with no complaints of genuine stress urinary incontinence underwent complete urodynamic evaluation including ultrasonic evaluation before and 3 months postoperatively. Ultrasound examination was able to predict in 46 patients those requiring urethropexy surgery for support of their bladder base (n = 22). The 24 patients with good bladder base support by ultrasound did not develop genuine stress urinary incontinence. The use of ultrasound in women with third-degree cystocele appears to predict which patients will require urethropexy surgery in addition to their cystocele repair.
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D014463:Ultrasonography; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D014563:Urodynamics; D014596:Uterine Prolapse / Q000601:surgery*