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Magnetic resonance imaging for stress incontinence: evaluation of patients before and after surgical correction

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dc.creator Oral, B
dc.creator Yesildag, A
dc.creator Ozsoy, M
dc.creator Serel, TA
dc.creator Turgut, T
dc.creator Perk, H
dc.date 2002-10-01T00:00:00Z
dc.date.accessioned 2021-12-03T11:19:56Z
dc.date.available 2021-12-03T11:19:56Z
dc.identifier 345020c8-240e-4809-a421-f4599f74cb8e
dc.identifier 10.1016/s0720-048x(01)00472-7
dc.identifier https://avesis.sdu.edu.tr/publication/details/345020c8-240e-4809-a421-f4599f74cb8e/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/90827
dc.description Objective: The purpose of this study was to evaluate the accuracy of magnetic resonance imaging (MRI) in the pre and postoperative assessment of stress urinary incontinence. Methods:: Fifteen female patients with clinical evidence of stress urinary incontinence were included in this prospective study. All the patients underwent MRI ill the Supine position both preoperatively and postoperatively. For imaging. we used a 1.0 T magnet. T2-weighted images were obtained in the midline sagittal plane with patients at rest. Images were evaluated for anatomical stress urinary incontinence alterations. such as the increased distance between the pubococcygeal line and the bladder base and the posterior urethro-vesical angle and the urethral inclination angle changes. Wilcoxon signed rank test allowed comparisons of pre and postoperative results. Results: Compared with postoperative measurements, the bladder base was lowered significantly by an average of 9.4+/-4.0 mm (P<0.01), posterior urethro-vesical angle was significantly increased by an average of 127.8&PLUSMN;11.4&DEG; (P<0.01). and the urethral inclination angle was significantly increased by an average of 54.9+/-10.1degrees (P<0.01) preoperatively. Conclusion: Our results suggest that MRI can play a major role in the preoperative and postoperative assessment of stress urinary incontinence. It call reliably detect anatomical urinary incontinence alterations. MRI should be considered in failed surgery, complex prolapse. and in differentiating genuine stress incontinence resulting from malposition of the bladder neck from stress incontinence due to intrinsic urethral damage. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title Magnetic resonance imaging for stress incontinence: evaluation of patients before and after surgical correction
dc.type info:eu-repo/semantics/article


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