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Ultrasonographic evaluation of urethrovesical junction mobility: correlation with type of delivery and stress urinary incontinence

Autor*in: Cosimato, Cosimo ; Cipullo, Lucio M. A. ; Troisi, Jacopo ; DI SPIEZIO SARDO, ATTILIO ; Tommaselli, Giovanni Antonio ; Oro, Rosa Rita ; Zullo, Fulvio ; Altieri, Vincenzo

Erschienen: 2015

Zitierfähiger Link:

http://hdl.handle.net/11588/648476

https://doi.org/10.1007/s00192-015-2736-3

A relationship between urinary incontinence and hypermobility of the urethrovesical junction (UVJ) during pregnancy has been described. The aim of the study was to compare the effects of vaginal delivery (VD) and caesarean section (CS) on UVJ mobility. The retrovesical angle (RVA) and the anterior angle between the UVJ and the pubic bone, the pubovesical angle (PVA), were evaluated ultrasonographically in controls and pregnant women during their first pregnancy between 38 and 40 weeks, and then re-evaluated 6 weeks and 6 months after delivery. All patients completed a validated questionnaire (ICIQ-SF). Differences between and within groups were assessed with Student's t test, the chi-squared test for trend, and one-way two-tailed analysis of variance with Scheff,'s post-hoc test. The correlation between PVA and RVA was evaluated using the Spearman R correlation. The positive predictive value, negative predictive value, sensitivity and specificity for the prediction of stress urinary incontinence (SUI) symptoms were also determined. Included in the study were 42 controls and 217 pregnant women. PVA at rest, during cough and Valsalva manoeuvre was significantly higher in pregnant women than in controls and in women 6 weeks after VD in comparison with women who had undergone CS. Patients affected by SUI showed a significantly higher PVA. RVA did not differ between subjects affected or not by SUI symptoms. PVA and RVA were not correlated with each other. PVA and RVA are increased in pregnant women in comparison with controls. In patients undergoing VD, PVA is restored significantly later than in those undergoing CS. The change in RVA after pregnancy and delivery seems to persist longer than the change in PVA.

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Quelle:	BASE Fachausschnitt Germanistik
Sprache:	Englisch
Medientyp:	Aufsatz aus einer Zeitschrift
Format:	Online
Schlagworte:	Pregnancy; Pubovesical angle; Retrovesical angle; Stress urinary incontinence; Ultrasound parameter; Adult; Case-Control Studie; Delivery; Obstetric; Female; Human; Longitudinal Studie; Postpartum Period; Urethra; Urinary Bladder; Urinary Incontinence; Stre; Young Adult; Urology; Obstetrics and Gynecology; Medicine (all)

Vom Steinschnitt zur Nierentransplantation

ein medizinhistorischer Rückblick auf die Entwicklung der Urologie

Autor*in: Konert, Jürgen

Erschienen: c 2002

Verlag: Schattauer, Stuttgart [u.a.]

Berlin: Staatsbibliothek zu Berlin - Preußischer Kulturbesitz, Haus Potsdamer Straße

Standort:

Staatsbibliothek zu Berlin - Preußischer Kulturbesitz, Haus Potsdamer Straße

Signatur:

1 A 435617

Fernleihe:

keine Ausleihe von Bänden, nur Papierkopien werden versandt

Link zum Verbundkatalog:

Quelle:	Herzog August Bibliothek Wolfenbüttel
Sprache:	Deutsch
Medientyp:	Buch (Monographie)
Format:	Druck
ISBN:	3794521390
Weitere Identifier:	9783794521395
RVK Klassifikation:	XB 5803
Schlagworte:	Urology
Weitere Schlagworte:	Urology / history
Umfang:	X, 219 S., Ill.
Bemerkung(en):	Literaturverz. S. 215 - 219

Quelle:	Herzog August Bibliothek Wolfenbüttel
Beteiligt:	Schultheiss, Dirk (Hrsg.); Rathert, Peter; Jonas, Udo; Ahlbrecht, Alexander
Sprache:	Deutsch
Medientyp:	Buch (Monographie)
Format:	Druck
ISBN:	9783540660873; 3540660879
Weitere Identifier:	9783540660873
RVK Klassifikation:	XB 5803 ; XB 5800 ; XB 2390
Schlagworte:	Geschichte; Medizinisches Instrument; Urologie; Urology; Urology
Weitere Schlagworte:	Urology / history
Umfang:	XIV, 235 S., Ill., graph. Darst., 24 cm
Bemerkung(en):	Literaturangaben

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Ultrasonographic evaluation of urethrovesical junction mobility: correlation with type of delivery and stress urinary incontinence

Vom Steinschnitt zur Nierentransplantation

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