[Comparison of gynecologic and perineal ultrasound examination of women with stress incontinence].
A COMPARISON AIM: To determine how well results of gynecological and perineal sonographic examinations of the urethrovesical junction correlate.


METHODS
186 women with urodynamically verified stress incontinence underwent a perineal ultrasound and then a gynecologic examination. Standardised procedures were used for both. The findings of the gynecological examination were compared with measurement values and morphological findings from perineal ultrasound.


RESULTS
There was agreement on the cystocele grade in 69% of the cases. The position of the bladder neck as assessed by the ultrasound image revealed typical measurement values for this disorder. The expected bladder neck funneling was detected in 49% of these women.


CONCLUSIONS
In stress-incontinent women there is good correlation between the findings of the gynecological and perineal sonographic examinations. Bladder neck funneling-a morphological sign of stress incontinence-can be detected with perineal ultrasound in nearly one-half of the cases.
Fink
D
D
Departement für Frauenheilkunde, Universitätsspital Zürich.
Schär
G
G
Perucchini
D
D
Haller
U
U
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D014463:Ultrasonography; D014521:Urethra / Q000000981:diagnostic imaging / Q000503:physiopathology; D001745:Urinary Bladder Diseases / Q000000981:diagnostic imaging* / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000000981:diagnostic imaging* / Q000503:physiopathology; D014563:Urodynamics / Q000502:physiology*; D014596:Uterine Prolapse / Q000000981:diagnostic imaging* / Q000503:physiopathology
Gynäkologische und perinealsonographische Untersuchung bei Frauen mit Stressinkontinenz--ein Vergleich.