3D high frequency endovaginal ultrasound evaluation of urethral and pelvic morphology in stress urinary incontinence in first pregnancy

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dc.authoridPeker, Berna Haliloğlu/0000-0002-3166-9052en_US
dc.contributor.authorPeker, Hakan
dc.contributor.authorPeker, Berna Haliloğlu
dc.date.accessioned2024-07-12T21:37:46Z
dc.date.available2024-07-12T21:37:46Z
dc.date.issued2021en_US
dc.department[Belirlenecek]en_US
dc.description.abstractObjective: We aimed to compare the morphological characteristics of pelvis and urethra in nulliparous pregnant women with and without stress urinary incontinence (SUI) by 3D high-frequency endovaginal ultrasound (3D-EVUS). Study design: At 36-38 weeks of gestation, 40 nulliparous pregnant women with and without SUI underwent 3D-EVUS assessment. The anteroposterior and transverse diameters of levator hiatus (LH), pubovisceral muscle thicknesses at 3,9 and 12 o'clock, right and left paravaginal areas, symphysis angle, bladder-symphysis distance (BSD), uretral complex thickness (Ut), urethral complex width (Uw), urethral complex volume (UV), urethral length (UL), intramural urethra, rhabdosphincter thickness (Rt), rhabdosphincter width (Rw), rhabdosphincter length (RL), and rhabdosphincter volume (RV) were measured by 3D-EVUS. Results: Longer LH transverse diameter (34.8 +/- 3.8 mm vs 31.1 +/- 2.1 mm), shorter LH anteroposterior diameter (47.8 +/- 6.2 mm vs 52.4 +/- 2.6 mm), and wider symphysis angle (116.3 +/- 5.6 vs 111.5 +/- 5.3 degrees) were detected in nulliparous pregnant women with SUI compared those without SUI (p = 0.001, p = 0.001 and p = 0.013; respectively). RV of less than 1.26 cm(3) was found to have a sensitivity of 100 % and a specificity of 100 % for the presence of SUI in nulliparous pregnant women. Conclusions: Constitutionally different pelvic shape and decreased urethral rhabdosphincter measurements can be used to predict SUI in nulliparous pregnant women. (C) 2021 Elsevier B.V. All rights reserved.en_US
dc.identifier.doi10.1016/j.ejogrb.2021.04.037
dc.identifier.endpage153en_US
dc.identifier.issn0301-2115
dc.identifier.issn1872-7654
dc.identifier.pmid33940425en_US
dc.identifier.scopus2-s2.0-85105833396en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage148en_US
dc.identifier.urihttps://doi.org/10.1016/j.ejogrb.2021.04.037
dc.identifier.urihttps://hdl.handle.net/20.500.12415/6930
dc.identifier.volume261en_US
dc.identifier.wosWOS:000682779500025en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofEuropean Journal of Obstetrics & Gynecology And Reproductive Biologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY04272
dc.subjectStress Urinary Incontinenceen_US
dc.subjectPregnancyen_US
dc.subjectRhabdosphincteren_US
dc.subjectUrethraen_US
dc.subjectUltrasounden_US
dc.title3D high frequency endovaginal ultrasound evaluation of urethral and pelvic morphology in stress urinary incontinence in first pregnancyen_US
dc.typeArticle
dspace.entity.typePublication

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