Comparison of translabial ultrasonographic and urodynamic data of female patients with urinary incontinence: Importance of translabial ultrasonography in the diagnosis of incontinence

Özet

Objective: To explore the diagnostic importance of translabial ultrasonographic data in incontinence, forcomparison with urodynamic data.Material and methods: The study was performed between January and May 2017 on 64 patients agedbetween 40 and 65 years with complaints of mixed type incontinence. The patients were separated into twogroups according to their urodynamic data. Translabial ultrasonography was performed in both groups.Results: Mean age of the patients was 51.19±7.01 years, and mean body mass index was 26.69±2.02 kg/m2. The patients were separated into two groups as those with (n=33) or without (n=31) stress urinary incontinence based on urodynamic findings (despite the presence of mixed urinary incontinence complaints,stress urinary incontinence and detrusor overactivity associated with incontinence could not be detectedin the urodynamic study). Average x descend, y descend and bladder neck mobilization values detectedwith translabial ultrasonography were found to be statistically significantly higher in the urodynamic stressincontinence group. There was an opposite-directional, 37.6% and statistically significant relation betweenmaximum cystometric capacity and x descend parameters. Y descend values and bladder neck mobilizationof females with negative Q-tip test were found to be statistically significantly lower than females with positive Q-tip test.Conclusion: As a complementary examination tool in the evaluation of urinary incontinence translabialultrasonography may become one of the main diagnostic evaluation tools in the future.