Ultrasound Characteristics of the Urethro-Vesical Segment in Women with Stress Urinary Incontinence

Leonid Sevastyanov 1 * , Yelena Avilova 2, Yermek Turgunov 3, Dmitry Vazenmiller 4, Gennady Stepanenko 1
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1 Department of Surgical Diseases, Karaganda Medical University, Karaganda, Kazakhstan
2 Alanda Clinic, Karaganda, Kazakhstan
3 Provost's office, Karaganda Medical University, Karaganda, Kazakhstan
4 Department of Obstetrics and Gynecology, NPJSC Karaganda Medical University, Karaganda, Kazakhstan
* Corresponding Author
J CLIN MED KAZ, Volume 22, Issue 2, pp. 31-36. https://doi.org/10.23950/jcmk/16257
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Author Contributions: Conceptualization, L. S.; methodology, L. S.; validation – not applicable; formal analysis – not applicable; investigation, Y. A.; resources – not applicable; data curation, G. S.; writing – original draft preparation, L. S.; writing – review and editing, D. V; visualization – not applicable; supervision – not applicable; project administration, Y. T.; funding acquisition – not applicable. All authors have read and agreed to the published version of the manuscript.

Ethic statement: The study was approved by the Ethics Committee of Medical University of Karaganda, NPJS, Kazakhstan (No.101 dated 27.11.2023).

ABSTRACT

Introduction. This article highlights the clinical use of pelvic floor ultrasound to image the urethra-vesical segment in women with stress urinary incontinence.
Methods.  The features of the urethro-vesical segment were compared between healthy women and female patients with stress urinary incontinence.
Results. Significant differences were found between the groups in such parameters as pubo-urethral distance, urethral diameter, α angle and its deviation and the deviation of β angle. These parameters were significantly higher in the SUI group.
Conclusion. Transperineal ultrasonography is a practical, reliable, non-invasive and comfortable method for the SUI evaluation. The advantage of ultrasound is the dynamic assessment of urethro-vesical segment parameters during the Valsalva maneuver, which reliably reflects urethral hypermobility and correlates with the SUI symptoms.
Keywords: Stress urinary incontinence, transperineal ultrasound, hypermobility of urethra, intrinsic sphincter deficiency.
Keywords: Stress urinary incontinence, transperineal ultrasound, hypermobility of urethra, intrinsic sphincter deficiency, α angle, β angle.

CITATION

Sevastyanov L, Avilova Y, Turgunov Y, Vazenmiller D, Stepanenko G. Ultrasound Characteristics of the Urethro-Vesical Segment in Women with Stress Urinary Incontinence. J CLIN MED KAZ. 2025;22(2):31-6. https://doi.org/10.23950/jcmk/16257

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