The Effectiveness of Transperineal Ultrasonography in the Diagnosis and Dynamics of Therapy in Women with Stressurinary incontinence.

Abstract

Aim

Our aim was to explore the effectiveness of transperineal ultrasound in diagnosis and dynamic therapy of SUI. 

Methods 

Prospective incomparative study of 31 parous women with pelvic floor disorder examined with POP quantification (POP-Q) and 2D transperineal ultrasound before, during and 3 months later after periurethral injections of hyaluronic acid "Delight G". Statistical analysis was undertaken using Python package SciPy.To check whether the data is normally distributed we used Kolomogorov-Smirnov criteria (scipy.stats.kstest). All background variables (BMI, age and parity) and ultrasound measurements were not normally distributed, hence we used nonparametric statistical criteria. We based on 99 percent confidence level, therefore p-value 0.05 and parameters lower than that were considered to be statistically significant.  

Results 

Based on the sonography data the most significant parameter was the proximal urethral diameter at rest, which decreased 2.2 times in patients immediately after surgical treatment (10.95±1.38 mm vs. 4.98±1.38 mm, p < 0, 05). Moreover, this effect continued 3 months after periurethral injection. In addition, transperineal ultrasound scanning showed that the height of centrum tendineum were 2 times more in patients immediately and 3 months after surgical treatment (13.53± 1.42 mm vs 6.49±1.1 mm and 13.53± 1.42 mm vs 7.78 ± 1.17 mm, P <0, 05). Other ultrasound parameters –α-angle at rest and during straining, β-angle at rest and during straining – did not have statistically significant changes after periurethral injection (Figure 3-8).

Conclusion 

In the course of our research, it was found that transperineal ultrasound is highly effective not only in diagnosis, but also in assessing the effectiveness of therapy in patients with stress urinary incontinence.