Ultrasonographic and Doppler velocimetric evaluation of the levator ani muscle in premenopausal women with and without urinary stress incontinence

Ultrasonographic and Doppler velocimetric evaluation of the levator ani muscle in premenopausal women with and without urinary stress incontinence

Author Oliveira, Emerson Google Scholar
Castro, Rodrigo A. Google Scholar
Takano, Cldudia C. Google Scholar
Bezerra, Leonardo R. P. S. Google Scholar
Sartori, Marair G. F. Google Scholar
Lima, Geraldo R. Google Scholar
Baracat, Edmund C. Google Scholar
Girao, Manoel J. B. C. Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Objectives: the objective was to evaluate the cross-sectional area (CSA) and the Doppler velocimetric parameters of the levator am muscle vessels in premenopausal women with and without urinary stress incontinence.Study design: Sixty-three premenopausal women constituted three groups: GI (nulliparous), GII (continent multiparous), and Gill (incontinent multiparous). the patients had undergone transperineal ultrasound in which the CSA was measured and Doppler velocimetry was performed. the examination was repeated by a second observer using the same procedure.Results: There was a statistically significant correlation between the measurements of the observers I and II regarding all the parameters studied, except for the A/B ratio in Gill. the CSA was significantly greater in GI and GII than in Gill. As far as Doppler velocimetry is concerned there were no differences in the Doppler velocimetric indices among the three groups. Concerning the absent end diastolic shift, it was observed that there was a significantly greater incidence of such findings in GI + GII (continent women) towards GIII (incontinent women).Conclusions: the CSA evaluation and the Doppler velocimetry of the levator ani muscle vessels were highly reproducible. the CSA was higher in continent women and the frequency of the absent end diastolic shift was higher in incontinent women. (C) 2006 Elsevier Ireland Ltd. All rights reserved.
Keywords ultrasonography
Doppler velocimetry
urinary stress incontinence
levator am muscle
pelvic floor
Language English
Date 2007-08-01
Published in European Journal of Obstetrics Gynecology and Reproductive Biology. Clare: Elsevier B.V., v. 133, n. 2, p. 213-217, 2007.
ISSN 0301-2115 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 213-217
Origin http://dx.doi.org/10.1016/j.ejogrb.2006.04.042
Access rights Closed access
Type Article
Web of Science ID WOS:000248981300015
URI http://repositorio.unifesp.br/handle/11600/29905

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