Correlation between genuine stress incontinence in women and bladder neck mobility as assessed by inter labial ultrasound scan

Abstract

Background; genuine stress incontinence is one of the most common disorders among women which is caused by bladder neck hyper mobility. Vaginal ultrasound scan has been used increasingly in predicting women with incontinence by visualization of bladder neck. Aim of the study; is to assess whether distance between bladder neck to pubic symphsis BN-SP correlate significantly with symptoms of genuine stress incontinence as assessed by inter labial ultrasound scan. Methods; a total 20 patient with genuine stress incontinence and 23 continent females have bee recruited to study by inter labial ultrasound. All women with genuine stress incontinence have been diagnosed by urodynamic study. For all patients inter labial ultrasound has been done to measure the distance between bladder neck and symphsis pubis. Results; all continent women have significantly longer bladder neck- symphysis pubis distance than women with genuine stress incontinence; 25.0435+2.0108 versus 20.2000+1.1517 mm; P < 0.0001. All continent women had significantly lower number of births and body mass indexConclusions; measurement of bladder neck- symphysis pubis distance may be helpful in predicting women with genuine stress incontinence as assessed by inter labial ultrasound.Key words; vaginal ultrasound, perineal ultrasound, genuine urinary incontinence