Perineal ultrasound evaluation of the urethrovesical junction angle and urethral mobility in nulliparous women and women following vaginal delivery.
The objective of this study was to demonstrate the differences in the urethrovesical junction angle and urethral mobility by means of perineal ultrasounds in women following vaginal delivery with respect to nulliparous women. We have enrolled 34 women, 12 nulliparous (Group A) and 22 women in the post-partum period (Group B). The ultrasounds were employed to measure the urethrovesical junction angle ("urethro-pelvic" angle) and the urethral mobility. Data obtained show that the urethro-pelvic angle is narrower in Group A (97.3 degrees) with respect to Group B (112.5 degrees). Urethral mobility while coughing was significantly higher in Group B (30.4 degrees) with respect to Group A (-2 degrees). This study demonstrates the difference in the urethral support at rest and during cough in nulliparous versus recently delivered parous women.
Costantini
Sergio
S
Gynaecology and Obstetrics Department, University of Genova, Padiglione 1, I piano, Largo R. Benzi, 16100 Genova, Italy.
Nadalini
Chiara
C
Esposito
Francesca
F
Valenzano
Mario Menada
MM
Risso
Domenico
D
Lantieri
Pasquale
P
Mistrangelo
Emanuela
E
D000328:Adult; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D009321:Natural Childbirth; D010298:Parity; D017773:Pelvic Floor / Q000000981:diagnostic imaging*; D010502:Perineum / Q000000981:diagnostic imaging*; D011247:Pregnancy; D014463:Ultrasonography / Q000379:methods; D014521:Urethra / Q000000981:diagnostic imaging* / Q000502:physiology