MAGNETIC RESONANCE IMAGING FOR STRESS URINARY INCONTINENCE

M. N. Barinova; A. E. Solopova; M. Yu. Gvozdev; B. N. Godunov; S. K. Ternovoj

MAGNETIC RESONANCE IMAGING FOR STRESS URINARY INCONTINENCE

M. N. Barinova, A. E. Solopova, M. Yu. Gvozdev, B. N. Godunov, S. K. Ternovoj

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Abstract

The purpose of our study was to evaluate morphology of the urethra and it`s supporting structures and the grade of bladder prolapsus using static and dynamic MRI (D-MRI) with phased-array coil in woman with stress urinary incontinence (SUI). We compared 30 MRI in woman with SUI and 10 controls according to the grade of the bladder prolapsus, the distortion in the periurethral, paraurethral, pubourethral ligaments, the vesicourethral angle, the retropubic space, asymmetry of pubococcygeal muscle. There was a significantly higher pubourethral ligament distortion (р=0.024), asymmetry of pubococcygeal muscle(р=0.032), larger vesicourethral angle (152.09º±10.62º), v.s. 138.8º±12.59º;
р=0.001) and retropubic space (7.8 mm v.s. 4.9 mm р=0.0402) in woman with SUI. There was no significant relationship between the grade of the bladder prolapsus in incontinent woman (р>0.05). The combined static and dynamic MRI can provide usefull information according certain structural abnormalities with specific disfunction, such as vesicourethral
angle, retropubic space increase and pubourethral ligament distortion in patients with SUI.

Keywords

urethra, stress urinary incontinence, pelvic floor, magnetic resonance imaging, dynamic MRI

About the Authors

M. N. Barinova

The State Education Institution of Higher Professional Training The First Sechenov Moscow State Medical University under Ministry of Health of the Russian Federation
Russian Federation

A. E. Solopova

The State Education Institution of Higher Professional Training The First Sechenov Moscow State Medical University under Ministry of Health of the Russian Federation
Russian Federation

M. Yu. Gvozdev

Moscow State University of Medicine and Dentistry
Russian Federation

B. N. Godunov

Moscow State University of Medicine and Dentistry
Russian Federation

S. K. Ternovoj

The State Education Institution of Higher Professional Training The First Sechenov Moscow State Medical University under Ministry of Health of the Russian Federation
Russian Federation

References

1. Broekhuis S.R., Kluivers K.B., Hendriks J.C., Futterer J.J., Barentsz J.O., Vierhout M.E. POP-Q, dynamic MR imaging, and perineal ultrasonography: do they agree in the quantification of female pelvic organ prolapse? Int. Urogynecol. J. Pelvic Floor Dysfunct. 2009; 20: 541-549.

2. Chaudhari V.V., Patel M.K., Douek M., Raman S.S. MR Imaging and US of Female Urethral and Periurethral Disease. RSNA. 2010.

3. Eckhard P., Kiran A. Paravaginal defects and stress urinary incontinence. Pelviperineology. 2011; 30: 84-88.

4. Lakeman. M.M.E., Zijta F.M., Peringa J., Nederveen A.J., Stoker J., Roovers J.P W.R. Dynamic magnetic resonance imaging to quantify pelvic organ prolapse: reliability of assessment and correlation with clinical findings and pelvic floor symptoms. Int. Urogynecol. J. 2012.

5. Lucas M.G., Bosch J.L.H.R., Cruz F.R., Madden T.B., Nambiar A., Neisius A., Pickard R.S., de Ridder D.J.M.K., Tubaro A., Turner W.H. Guidelines on Urinary Incontinence. European Association of Urology. 2012.

6. Morgan D.M., Umek W., Guire K., Morgan H.K., Garabrant A., DeLancey J.O. Urethral sphincter morphology and function with and without stress incontinence. J. Urol. 2009; 182: 203-209.

7. Tasali N., Cubuk R., Sinanoğlu O., Sahin K., Saydam B. MRI in Stress Urinary Incontinence Endovaginal MRI With an Intracavitary Coil and Dynamic Pelvic MRI. Urology Journal. 2012; 9 (1): 397-404.

For citation:

Barinova M.N., Solopova A.E., Gvozdev M.Y., Godunov B.N., Ternovoj S.K. MAGNETIC RESONANCE IMAGING FOR STRESS URINARY INCONTINENCE. Obstetrics, Gynecology and Reproduction. 2014;8(4):12-18. (In Russ.)