Role of Preoperative and Postoperative Endovaginal Ultrasound and 24 h Pad Test in Evaluation of Efficacy of Various Treatment Modalities for Stress Urinary Incontinence
Background Stress urinary incontinence (SUI) is a common problem affecting the quality of life of women. Materials and Methods It is a prospective study conducted over 40 women of SUI by endovaginal ultrasound on rest and Valsalva preoperatively and 6 months postoperatively for levator hiatus (LH),...
| Váldodahkkit: | , , , , |
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| Materiálatiipa: | Artihkal |
| Giella: | English |
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Wolters Kluwer Medknow Publications
2024-10-01
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| Ráidu: | Journal of Mid-Life Health |
| Fáttát: | |
| Liŋkkat: | https://journals.lww.com/10.4103/jmh.jmh_94_24 |
| _version_ | 1826986913864613888 |
|---|---|
| author | Jai Bhagwan Sharma Vivek Kakkad Rajesh Kumari Kavita Pandey Manasi Deoghare |
| author_facet | Jai Bhagwan Sharma Vivek Kakkad Rajesh Kumari Kavita Pandey Manasi Deoghare |
| author_sort | Jai Bhagwan Sharma |
| collection | DOAJ |
| description | Background
Stress urinary incontinence (SUI) is a common problem affecting the quality of life of women.
Materials and Methods
It is a prospective study conducted over 40 women of SUI by endovaginal ultrasound on rest and Valsalva preoperatively and 6 months postoperatively for levator hiatus (LH), pubovisceral thickness, urethral length, and bladder neck (BN) position. A 24 h pad test was also performed on all women at the same time for grading of SUI. Treatment given was medical in 4 (10%), Burch colposuspension in 18 (45%), and tension-free obturator tape in 18 (45%).
Results
The mean age, parity, and body mass index in the study were 41.60 years, 2.73, and 24.2 kg/m2, respectively. All 40 (100%) patients had SUI with a mean duration of symptoms being 4.04 years. On 24 h pad test, mild SUI was in 4 (10%), moderate SUI in 33 (82.5%), and severe SUI in 3 (7.5%) with mean preoperative 24 h pad test being 36.69 g which significantly reduced to 9.79 g postoperatively (P = 0.001). There was significant change in LH and pubovisceral thickness with treatment of SUI. Overall urethral length increased but there was significant decrease in urethral length on Valsalva after the treatment (0.40 cm vs. 0.28 cm, P = 0.04) and significant reduction in BN descent after Valsalva after treatment (0.41 cm vs. 0.27 cm, P = 0.001).
Conclusion
Endovaginal ultrasound and 24 h pad test are the useful diagnostic modalities for SUI diagnosis and to see the impact of treatment. |
| first_indexed | 2025-02-18T07:31:07Z |
| format | Article |
| id | doaj.art-f42c48a93042465f9cb4c9fb0f0daa6c |
| institution | Directory Open Access Journal |
| issn | 0976-7800 0976-7819 |
| language | English |
| last_indexed | 2025-02-18T07:31:07Z |
| publishDate | 2024-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Mid-Life Health |
| spelling | doaj.art-f42c48a93042465f9cb4c9fb0f0daa6c2024-11-06T10:34:51ZengWolters Kluwer Medknow PublicationsJournal of Mid-Life Health0976-78000976-78192024-10-0115318819310.4103/jmh.jmh_94_24Role of Preoperative and Postoperative Endovaginal Ultrasound and 24 h Pad Test in Evaluation of Efficacy of Various Treatment Modalities for Stress Urinary IncontinenceJai Bhagwan SharmaVivek KakkadRajesh KumariKavita PandeyManasi DeoghareBackground Stress urinary incontinence (SUI) is a common problem affecting the quality of life of women. Materials and Methods It is a prospective study conducted over 40 women of SUI by endovaginal ultrasound on rest and Valsalva preoperatively and 6 months postoperatively for levator hiatus (LH), pubovisceral thickness, urethral length, and bladder neck (BN) position. A 24 h pad test was also performed on all women at the same time for grading of SUI. Treatment given was medical in 4 (10%), Burch colposuspension in 18 (45%), and tension-free obturator tape in 18 (45%). Results The mean age, parity, and body mass index in the study were 41.60 years, 2.73, and 24.2 kg/m2, respectively. All 40 (100%) patients had SUI with a mean duration of symptoms being 4.04 years. On 24 h pad test, mild SUI was in 4 (10%), moderate SUI in 33 (82.5%), and severe SUI in 3 (7.5%) with mean preoperative 24 h pad test being 36.69 g which significantly reduced to 9.79 g postoperatively (P = 0.001). There was significant change in LH and pubovisceral thickness with treatment of SUI. Overall urethral length increased but there was significant decrease in urethral length on Valsalva after the treatment (0.40 cm vs. 0.28 cm, P = 0.04) and significant reduction in BN descent after Valsalva after treatment (0.41 cm vs. 0.27 cm, P = 0.001). Conclusion Endovaginal ultrasound and 24 h pad test are the useful diagnostic modalities for SUI diagnosis and to see the impact of treatment.https://journals.lww.com/10.4103/jmh.jmh_94_2424 h pad testbladder neck descentendovaginal ultrasoundpubovisceral muscle thicknessstress urinary incontinence |
| spellingShingle | Jai Bhagwan Sharma Vivek Kakkad Rajesh Kumari Kavita Pandey Manasi Deoghare Role of Preoperative and Postoperative Endovaginal Ultrasound and 24 h Pad Test in Evaluation of Efficacy of Various Treatment Modalities for Stress Urinary Incontinence Journal of Mid-Life Health 24 h pad test bladder neck descent endovaginal ultrasound pubovisceral muscle thickness stress urinary incontinence |
| title | Role of Preoperative and Postoperative Endovaginal Ultrasound and 24 h Pad Test in Evaluation of Efficacy of Various Treatment Modalities for Stress Urinary Incontinence |
| title_full | Role of Preoperative and Postoperative Endovaginal Ultrasound and 24 h Pad Test in Evaluation of Efficacy of Various Treatment Modalities for Stress Urinary Incontinence |
| title_fullStr | Role of Preoperative and Postoperative Endovaginal Ultrasound and 24 h Pad Test in Evaluation of Efficacy of Various Treatment Modalities for Stress Urinary Incontinence |
| title_full_unstemmed | Role of Preoperative and Postoperative Endovaginal Ultrasound and 24 h Pad Test in Evaluation of Efficacy of Various Treatment Modalities for Stress Urinary Incontinence |
| title_short | Role of Preoperative and Postoperative Endovaginal Ultrasound and 24 h Pad Test in Evaluation of Efficacy of Various Treatment Modalities for Stress Urinary Incontinence |
| title_sort | role of preoperative and postoperative endovaginal ultrasound and 24 h pad test in evaluation of efficacy of various treatment modalities for stress urinary incontinence |
| topic | 24 h pad test bladder neck descent endovaginal ultrasound pubovisceral muscle thickness stress urinary incontinence |
| url | https://journals.lww.com/10.4103/jmh.jmh_94_24 |
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