Transperineal ultrasound findings inpatients with stress urinary incontinencein the Department of Gynecology andObstetrics of a public hospital in 2024

Abstract

Introduction: Stress urinary incontinence is common. Diagnostic aids are needed to provide objective data to optimize therapeutic strategies. Transperineal ultrasound can be used to evaluate patients with stress urinary incontinence. Objectives: To describe the transperineal ultrasound findings using measurement of urethral neck descent (BND), posterior urethrovesical angle (β angle) at rest and with de Valsalva maneuver, and the presence of bladder neck funneling in patients reporting stress urinary incontinence. Methodology: A descriptive, prospective, cross-sectional study. Transperineal ultrasound measurements were made of bladder neck descent (BND), posterior urethrovesical angle (β angle), and the presence of bladder neck funneling
in patients reporting stress urinary incontinence. Results: A total of 52 patients were included. The mean bladder neck descent (BND) was 10.19 ± 5.2 mm. The mean resting posterior urethrovesical angle (β angle) was 129.27 ± 41.46°. The mean
Valsalva posterior urethrovesical angle (β angle) was 129.67 ± 38.01°. Bladder neck funneling was present in fourteen (14) of the 52 patients. Conclusion: Transperineal ultrasound provides objective data for the evaluation of patients with stress urinary
incontinence. Further studies with an analytical design are needed to evaluate
transperineal ultrasound in the evaluation of stress urinary incontinence.