Role of transvaginal ultrasound in diagnosis of stress incontinence in females

ABSTRACT

Incontinence of urine is one of the most common health problems in women, especially in the elderly. The aim of this study was to evaluate the role of vaginal ultrasonography in diagnosing the type of stress incontinence whether genuine stress incontinence [GSI[or detruser overactivity [DOA], Fifty women divided into two groups 40 with stress incontinence and 10 control cases at Al-Azhar University Hospitals and national institute of urology and nephrology. Vaginal ultrasonography measuring average bladder wall thickness, urethral angulation and bladder neck mobility was done for the fifty cases as well as urodynamic evaluation. DOA cases showed thicker bladder wall with preserved urethral angulation and normal bladder neck position and mobility. On the other hand, cases with GSI showed no significant differences as regard to average bladder wall thickness. However, urethral angulation was diminished and bladder neck was hypermobile. Although a variety of methods have been advanced to objectively demonstrate stress incontinence and its type, ultrasonography as a practical, economic, convenient and patient accepted method can also diagnose type of stress incontinence. It is recommended that ultrasound should be implemented in diagnosing type of stress incontinence in females