Role of medical imaging in cases of stress urinary incontinence

Background: traditional methods for evaluation of women with urinary incontinence include urodynamic studies with measuring the pressure in the abdomen, the bladder, and the urethra and urine flow analysis. In addition, cysto-urethroscopy, cysto-urethrography are used for visualization of the bladder and the urethra

Aim of the Study: urinary continence depends on a closed and empty urethra with high urethral pressure. High urethral pressure [Pura] depends on two factors; one is structural which is defined as damage and lacerations in the collagen chassis of the internal urethral sphincter [IUS], the second factor is acquired functional factor is having and maintaining high sympathetic tone at the IUS from toilet training

Patients and Methods: 40 women who from SUI are examined clinically and investigated with sonar scanning 3DUS. 20 cases control by 3DUS. Patients with primary infertility those who had no vaginal deliveries, did not suffer cognitive behavioral therapy. This study is done at Bab El-Sharia Maternity University Hospital during the period from January 2017 to June 2018

Result: the IUS, as it is a cylinder, the level and extent of the rupture along the cylinder will determine the type and the degree of urinary incontinence as well as the configurational shape seen on imaging [case with primary infertility two years ago]

Conclusion: we conclude that damage of the IUS leads low pura and stress urinary incontinence [SUI]. Childbirth trauma causes damage to the collagen layer [the frame] of the vagina that leads to redundancy of the vagina and vaginal prolapse

Surgical treatment of iliotibial band contracture

Flexion deformity of knee occurs in 50% of ilio-tibial band contracture. In these cases Soutter operation + Yount operation only does not correct flexion of knee. In our work supracondylar osteotomy was done with Yount operation in the same setting to avoid recurrence of flexion deformity. 275 cases were subjected to the study with good results

Genu recurvatum deformity caused by ilio-tibial band contracture

Ilio-tibial band contracture deformity is a common deformity encountered in polio. patients. In most cases, it is accompanied with flexion deformity of knee. In our practical work genurecurvatum was recorded in 4.4% of cases with ilio-tibial band contractures

Paralytic calcaneal foot in cases below 10 years old

Soft tissue operations is indicated as early as possible to avoid gross bony deformities in calcaneal foot which is difficult to treat. Grice-green operation + muscle transfer is the operation of choice in calcaneal, calcaneo cavus and calcaneo valgus foot to patients between age 4 years-10 years. Calcaneal osteotomy between the middle and posterior thirds of the os calcis was proved much superior than Evan's calcaneal osteotomy. 50 patients were subjected to this study with good results

Lower limb deformities in poliomyelitis patients

The occurrence of deformities in paralytic poliomyelitis is very common specially in the lower limbs. Two main etiological factors are responsible, the static factor due to the effect of gravity and kinetic factor due to muscle imbalance. In 100 cases subjected to the study patients were clinically examined and deformities were recorded. The mechanism of the deformity was reviewed. The most common deformities were recorded