Ultrasonic Assessment of the Urethra and the Vagina in Normal Continent Women and Women Suffering From Stress Urinary Incontinence
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Ain Shams University
- Enrollment
- 140
- Locations
- 1
- Primary Endpoint
- evaluation of the internal urethral sphincter and assesst the extend and degree of the torn internal urethral sphincter
Study Overview
Brief Summary
Continent women have an intact internal urethral sphincter that extends from the bladder neck down to the perineal membrane. The internal urethral sphincter is a strong collagen muscle tissue cylinder lined by urothelium. On ultrasound scanning tissue echo will be detected torn internal urethral sphincter will not stand sudden rise of abdominal pressure. Three dimensional ultrasound assessment of the internal urethral sphincter is very sensitive and specific for the diagnosis of stress urinary incontinence.
Detailed Description
The internal urethral sphincter used to be said it's a muscular ring but the investigators will visualize by three dimensional ultrasound it's a cylinder in shape and it's the cause of stress urinary incontinence by being torn by stretching the vagina during normal delivery.
Study Design
- Study Type
- Observational
- Observational Model
- Case Control
- Time Perspective
- Cross Sectional
Eligibility Criteria
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •signed an informed consent
- •patient with stress urinary incontinence
- •patient have done a vaginal delivery
- •patient with genital prolapse
Exclusion Criteria
- •refusal to sign an informed consent
- •patient have urinary tract infection
- •patient with pregnancy
- •patient have vaginal infection
- •patient who has undiagnosed vaginal bleeding
Outcomes
Primary Outcomes
evaluation of the internal urethral sphincter and assesst the extend and degree of the torn internal urethral sphincter
Time Frame: 6 month
we are going to do 3d ultrasound by transvaginal probe to see the internal urethral sphincter if torn or not and evaluate the morphology of the urethra and pelvic floor structure
Secondary Outcomes
No secondary outcomes reported
Investigators
dr mervat ekky
mekky
Ain Shams University