Role of Medical Imaging in Cases of Stress Urinary Incontinence
ElHemaly, A., Kandil, I., Hassanen, M., Mahmoud, A., Ibrahim, A. (2018). Role of Medical Imaging in Cases of Stress Urinary Incontinence. EKB Journal Management System, 73(3), 6263-6267. doi: 10.21608/ejhm.2018.12959
Abdel Karim M. ElHemaly; Ibrahim Mahrous Kandil; Mohammed Salah Elden Hassanen; Amr Mahmoud Zaied Mahmoud; Attia Mohammad Attia Ibrahim. "Role of Medical Imaging in Cases of Stress Urinary Incontinence". EKB Journal Management System, 73, 3, 2018, 6263-6267. doi: 10.21608/ejhm.2018.12959
ElHemaly, A., Kandil, I., Hassanen, M., Mahmoud, A., Ibrahim, A. (2018). 'Role of Medical Imaging in Cases of Stress Urinary Incontinence', EKB Journal Management System, 73(3), pp. 6263-6267. doi: 10.21608/ejhm.2018.12959
ElHemaly, A., Kandil, I., Hassanen, M., Mahmoud, A., Ibrahim, A. Role of Medical Imaging in Cases of Stress Urinary Incontinence. EKB Journal Management System, 2018; 73(3): 6263-6267. doi: 10.21608/ejhm.2018.12959

Role of Medical Imaging in Cases of Stress Urinary Incontinence

The Egyptian Journal of Hospital Medicine
Article 12, Volume 73, Issue 3, October 2018, Page 6263-6267  XML PDF (209.21 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2018.12959
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Authors
Abdel Karim M. ElHemaly1; Ibrahim Mahrous Kandil1; Mohammed Salah Elden Hassanen1; Amr Mahmoud Zaied Mahmoud2; Attia Mohammad Attia Ibrahim email 1
1Obstetrics and Gynecology Department, Faculty of Medicine for Boys, Al-Azhar University
2Radiology Department, Faculty of Medicine for Boys, Al-Azhar University
Abstract
Background: traditional methods for evaluation of women with urinary incontinence include urodynamic studies with measuring the pressure in the abdomen, the bladder, and the urethra and urine flow analysis. In addition, cysto-urethroscopy, cysto-urethrography are used for visualization of the bladder and the urethra.
Aim of the Study:urinary continence depends on a closed and empty urethra with high urethral pressure. High urethral pressure (Pura) depends on two factors; one is structural which is defined as damage and lacerations in the collagen chassis of the internal urethral sphincter (IUS), the second factor  is acquired functional factor is having and maintaining high sympathetic tone at the IUS from toilet training.
Patients and Methods: 40 women who from SUI are examined clinically and investigated with sonar scanning 3DUS. 20 cases control by 3DUS. Patients with primary infertility those who had no vaginal deliveries, did not suffer cognitive behavioral therapy. This study is done at Bab El-Sharia Maternity University Hospital during the period from January 2017 to June 2018.
Result:the IUS, as it is a cylinder, the level and extent of the rupture along the cylinder will determine the type and the degree of urinary incontinence as well as the configurational shape seen on imaging (case with primary infertility two years ago).
Conclusion: we conclude that damage of the IUS leads low pura and stress urinary incontinence (SUI). Childbirth trauma causes damage to the collagen layer (the frame) of the vagina that leads to redundancy of the vagina and vaginal prolapse.
Keywords
Stress Urinary Incontinence; cysto-urethroscopy; three dimensional ultrasound
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