긴장성 요실금 진단에서 직립위 경회음 초음파의 유용성

Abstract

To know the diagnostic efficacy of erectile perineal ultrasonography in stress urinary incontinence, We compared erectile perineal ultrasonography with chain cystourethrography in 16 women (mean age: 54 years old) with genuine stress urinary incontinence. We measured the posterior urethrovesical angle (PUVA) at rest and during straining in both tests. The average value of PUVA at rest state was 143.4 in chain cystourethrography and 150.9 in perineal ultrasonography (p<0.001). During straining state, PUVA was 172.4 in chain cystourethrography and 177.2 in perineal ultrasonography (p<0.001). The difference between PUVAs at rest and during straining were 29.0 in chain cystourethrography and 26.3 in perineal ultrasonography (p<0.05). In conclusion, erectile perineal ultrasonography is non-invasive, simple, comfortable and useful diagnostic method in stress urinary incontinence. So we think that erectile perineal ultrasonography can replace the chain cystourethrography to diagnose the stress urinary incontinence. Key word : Stress urinary incontinence, Ultrasonography