title: [Value of transrectal ultrasonography in the assessment of failures of stress urinary incontinence surgery in women].
abstract: OBJECTIVE
  To describe the role of transrectal ultrasonography as an alternative imaging technique in the evaluation of women who continue to be incontinent following surgical management of female stress urinary incontinence.
  
  
  METHODS
  The means of independent samples of transrectal ultrasound parameters of two groups of patients (group I, patients who were continent after surgery; group II, patients who remained incontinent after surgery) were compared.
  
  
  RESULTS
  Patients who were continent after surgery showed scanty caudal and dorsal mobility of the bladder neck and proximal urethra during the periods of increased intraabdominal pressure. The US finding in this group of patients is characterized by a funnel surrounding the bladder neck and the proximal urethra. The existence of an intrinsically incompetent sphincter can also be determined with this technique.
  
  
  CONCLUSIONS
  Transrectal ultrasonography constitutes an alternative imaging technique in the evaluation of women who continue to be incontinent following surgical management of female stress urinary incontinence. It permitis determining whether incontinence is due to a failed procedure, the existence of an intrinsically incompetent sphincter, or whether other causes of incontinence should be investigated.
authors.affiliation: Servicio de Urología, Hospital Universitario de Getafe, Madrid, España.
authors.forename: I
authors.initials: I
authors.lastname: Fernández González
authors.forename: J C
authors.initials: JC
authors.lastname: Ruiz de la Roja
authors.forename: E
authors.initials: E
authors.lastname: Sánchez Sánchez
authors.forename: J L
authors.initials: JL
authors.lastname: Ruiz Rubio
authors.forename: C
authors.initials: C
authors.lastname: Llorente Abarca
authors.forename: M
authors.initials: M
authors.lastname: Luján Galán
authors.forename: S
authors.initials: S
authors.lastname: Bustamante Alarma
authors.forename: A
authors.initials: A
authors.lastname: Berenguer Sánchez
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D012007:Rectum; D017211:Treatment Failure; D014463:Ultrasonography / Q000379:methods; D014550:Urinary Incontinence, Stress / Q000000981:diagnostic imaging* / Q000601:surgery*
vernacular_title: Valor de la ecografía transrectal en la evaluación de los fracasos de la cirugía de la incontinencia urinaria de esfuerzo femenina.