title: [Results of transrectal echography in the study of female urinary stress incontinence].
abstract: The development of echographic transducers allows now to study Female Urinary Exertional Incontinence (FUEI) using different approaches (vaginal, perineal and transrectal). A total of 122 transrectal echographies were performed. Based on the clinical symptoms: 14 patients are continent, 15 report micturition urgency, 11 micturition urgency plus FUEI, and 82 FUEI. All parameters Xrest, Yrest, AUVPrest, Xexertion, Yexertion, AUVPexertion, X', Y', AUVP' were measured. Three groups were defined: Group I, normal ultrasound diagnosis; Group II, vesical neck hypermobility; Group III, FUEI using Kolmogorov-Smirnov's test, the data fits a standard distribution curve and the results were analyzed through a variance analysis and Newman-Keul's test. During Valsalva's manoeuvre, patients with FUEI show greater caudal mobility of the vesical neck which becomes more significant as the degree of FUEI increases. Dorsal mobility is also greater in patients with FUEI although this parameter is of no use to quantify the degree of FUEI. Posterior urethro-vesical angle variability only discriminates patients with no FUEI from those with a higher degree of FUEI.
authors.affiliation: Servicio de Urología, Hospital Universitario de Getafe, Madrid.
authors.forename: I
authors.initials: I
authors.lastname: Fernández González
authors.forename: S
authors.initials: S
authors.lastname: Bustamante Alarma
authors.forename: J L
authors.initials: JL
authors.lastname: Ruiz Rubio
authors.forename: M
authors.initials: M
authors.lastname: Luján Galán
authors.forename: E
authors.initials: E
authors.lastname: Martín Oses
authors.forename: E
authors.initials: E
authors.lastname: Zárate Rodríguez
authors.forename: I
authors.initials: I
authors.lastname: Romero Cagigal
authors.forename: A
authors.initials: A
authors.lastname: Berenguer Sánchez
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D012007:Rectum; D014463:Ultrasonography / Q000379:methods; D014550:Urinary Incontinence, Stress / Q000000981:diagnostic imaging*; D014636:Valsalva Maneuver
vernacular_title: Resultados de la ecografía transrectal en el estudio de la incontinencia urinaria de esfuerzo femenina.