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Vol 88, No 7 (2017)
Research paper
Published online: 2017-07-31
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The analysis of repeatability and reproducibility of bladder neck mobility measurements obtained during pelvic floor sonography performed introitally with 2D transvaginal probe

Edyta Wlaźlak1, Tomasz Kluz2, Jacek Kociszewski3, Karolina Frachowicz1, Magdalena Janowska1, Wiktor Wlaźlak1, Grzegorz Surkont1
DOI: 10.5603/GP.a2017.0068
·
Pubmed: 28819940
·
Ginekol Pol 2017;88(7):360-365.
Affiliations
  1. Clinic of Operative Gynecology and Gynecologic Oncology, 1st Department of Gynecology and Obstetrics, Medical University of Lodz, Poland
  2. Department of Gynecology and Obstetrics, Chopin Hospital of Rzeszow, Poland
  3. Department of Gynecology and Obstetrics, Lutheran Hospital Hagen-Haspe, Hagen, Germany

open access

Vol 88, No 7 (2017)
ORIGINAL PAPERS Gynecology
Published online: 2017-07-31

Abstract

Objectives: The aim of the study was the evaluation of repeatability and reproducibility of chosen urethral neck mobility measurements obtained during introital pelvic floor sonography performed with a 2D transvaginal probe.

Material and methods: In order to assess the repeatability and reproducibility, independent measurements on the ultra­sound image were taken by two specialists on 92 female patients at rest and at strain (Valsalva maneuver). 2D ultrasound examination was performed introitally with a transvaginal probe (PFS-TV). The location of the urethral internal orifice was defined with coordinates of two points. Point CI marks the urethral anterior edge visualized on ultrasound as closer to the pubic symphysis. Point CII marks the posterior edge visualized more peripherally from pubic symphysis.

Results: Repeatability and reproducibility measurements of point CI location and mobility were good and very good (0.6710–0.9961), while of point CII — were medium, good and very good (0.5738–0.9944). Point CI was clearly visible in all cases. It was not possible to accurately mark point CII in 4.3–17.4% of cases.

Conclusions: The possibility to visualize point CI in every single case with very good and good repeatability and reproduc­ibility of measurements of this point’s location and mobility allows the usage of CI point as a universal reference point for evaluation of bladder neck mobility and position during PFS-TV in the clinical practice and for research purposes.

Abstract

Objectives: The aim of the study was the evaluation of repeatability and reproducibility of chosen urethral neck mobility measurements obtained during introital pelvic floor sonography performed with a 2D transvaginal probe.

Material and methods: In order to assess the repeatability and reproducibility, independent measurements on the ultra­sound image were taken by two specialists on 92 female patients at rest and at strain (Valsalva maneuver). 2D ultrasound examination was performed introitally with a transvaginal probe (PFS-TV). The location of the urethral internal orifice was defined with coordinates of two points. Point CI marks the urethral anterior edge visualized on ultrasound as closer to the pubic symphysis. Point CII marks the posterior edge visualized more peripherally from pubic symphysis.

Results: Repeatability and reproducibility measurements of point CI location and mobility were good and very good (0.6710–0.9961), while of point CII — were medium, good and very good (0.5738–0.9944). Point CI was clearly visible in all cases. It was not possible to accurately mark point CII in 4.3–17.4% of cases.

Conclusions: The possibility to visualize point CI in every single case with very good and good repeatability and reproduc­ibility of measurements of this point’s location and mobility allows the usage of CI point as a universal reference point for evaluation of bladder neck mobility and position during PFS-TV in the clinical practice and for research purposes.

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Keywords

urogynecology, pelvic floor ultrasound, transvaginal probe, urethral mobility, repeatability

About this article
Title

The analysis of repeatability and reproducibility of bladder neck mobility measurements obtained during pelvic floor sonography performed introitally with 2D transvaginal probe

Journal

Ginekologia Polska

Issue

Vol 88, No 7 (2017)

Article type

Research paper

Pages

360-365

Published online

2017-07-31

Page views

1852

Article views/downloads

1469

DOI

10.5603/GP.a2017.0068

Pubmed

28819940

Bibliographic record

Ginekol Pol 2017;88(7):360-365.

Keywords

urogynecology
pelvic floor ultrasound
transvaginal probe
urethral mobility
repeatability

Authors

Edyta Wlaźlak
Tomasz Kluz
Jacek Kociszewski
Karolina Frachowicz
Magdalena Janowska
Wiktor Wlaźlak
Grzegorz Surkont

References (27)
  1. Koelbl H, Nitti V, Baessler K. Pathophysiology of Urinary Incontinence, Faecal Incontinence and Pelvic Organ Prolapse. In: Abrams P, Cardozo L, Khoury S, Wein A. ed. Incontinence. Health Publication Ltd. 2009: 255–330.
  2. Hosker G, Rosier P, Gajewski J. et al. Dynamic Testing. In: Abrams P, Cardozo L, Khoury S, Wein A. ed. Incontinence. Health Publication Ltd. 2009: 413–522.
  3. Tubaro A, Artibani W, Bartram C. et al. Imaging and Other Investigations. In: Abrams P, Cardozo L, Khoury S, Wein A. ed. Incontinence. Health Publication Ltd. 2009: 541–630.
  4. Atherton MJ, Stanton SL. and colposuspension: comparison and contrast of possible mechanism. Neurourol Urodyn. 2000; 19: 396–398.
  5. Staskin D, Kelleher C, Avery K. et al. Initial Assessment of Urinary and Faecal Incontinence in Adult Male and Female Patients. In: Abrams P, Cardozo L, Khoury S, Wein A. ed. Incontinence. Health Publication Ltd. 2009: 331–412.
  6. Smith ARB, Dmochowski R, Hilton P. et al. Surgery for Urinary Incontinence in Women. In: Abrams P, Cardozo L, Khoury S, Wein A. ed. Incontinence. Health Publication Ltd. 2009: 1191–1272.
  7. Thorp JM, Jones LH, Wells E, et al. Assessment of pelvic floor function: a series of simple tests in nulliparous women. Int Urogynecol J Pelvic Floor Dysfunct. 1996; 7(2): 94–97.
    PubMed
  8. Shek KaL, Chantarasorn V, Dietz HP. The urethral motion profile before and after suburethral sling placement. J Urol. 2010; 183(4): 1450–1454.
    CrossRefPubMed
  9. Piskunowicz M, Świętoń D, Rybczyńska D, et al. Comparison of voiding cystourethrography and urosonography with second-generation contrast agents in simultaneous prospective study. J Ultrason. 2016; 16(67): 339–347.
    CrossRefPubMed
  10. Viereck V, Nebel M, Bader W, et al. Role of bladder neck mobility and urethral closure pressure in predicting outcome of tension-free vaginal tape (TVT) procedure. Ultrasound Obstet Gynecol. 2006; 28(2): 214–220.
    CrossRefPubMed
  11. Yang JM, Yang SH, Huang WC. Dynamic interaction involved in the tension-free vaginal tape obturator procedure. J Urol. 2008; 180(5): 2081–2087.
    CrossRefPubMed
  12. Yang JM, Yang SH, Huang WC. Correlation of morphological alterations and functional impairment of the tension-free vaginal tape obturator procedure. J Urol. 2009; 181(1): 211–218.
    CrossRefPubMed
  13. Wlaźlak E, Surkont G, Shek KaL, et al. Can we predict urinary stress incontinence by using demographic, clinical, imaging and urodynamic data? Eur J Obstet Gynecol Reprod Biol. 2015; 193: 114–117.
    CrossRefPubMed
  14. Wlaźlak E, Kociszewski J, Suzin J, et al. Urethral length measurement in women during sonographic urethrocystography – an analysis of repeatability and reproducibility. J Ultrason. 2016; 16(64): 25–31.
    CrossRefPubMed
  15. Dietz HP, Eldridge A, Grace M, et al. Test–retest reliability of ultrasound assessment of bladder neck mobility. Int Urogynecol J. 2003; 14: 57–58.
  16. Dietz HP, Eldridge A, Grace M, et al. Pelvic organ descent in young nulligravid women. Am J Obstet Gynecol. 2004; 191(1): 95–99.
    CrossRefPubMed
  17. Kociszewski J, Rautenberg O, Kuszka A, et al. Can we place tension-free vaginal tape where it should be? The one-third rule. Ultrasound Obstet Gynecol. 2012; 39(2): 210–214.
    CrossRefPubMed
  18. Kociszewski J, Rautenberg O, Perucchini D, et al. Tape functionality: sonographic tape characteristics and outcome after TVT incontinence surgery. Neurourol Urodyn. 2008; 27(6): 485–490.
    CrossRefPubMed
  19. Wlaźlak E, Viereck V, Kociszewski J, et al. Role of intrinsic sphincter deficiency with and without urethral hypomobility on the outcome of tape insertion. Neurourol Urodyn. 2017 [Epub ahead of print].
    CrossRefPubMed
  20. Viereck V, Pauer HU, Hesse O, et al. Urethral hypermobility after anti-incontinence surgery – a prognostic indicator? Int Urogynecol J Pelvic Floor Dysfunct. 2006; 17(6): 586–592.
    CrossRefPubMed
  21. Tamborrini G, Marx C, Micheroli R. Inter-rater reliability in the classification of supraspinatus tendon tears using 3D ultrasound – a question of experience? J Ultrason. 2016; 16(66): 252–259.
    CrossRefPubMed
  22. Salvatore S, Serati M, Uccella S, et al. Inter-observer reliability of three different methods of measuring urethrovesical mobility. Int Urogynecol J Pelvic Floor Dysfunct. 2008; 19(11): 1513–1517.
    CrossRefPubMed
  23. Santoro GA, Wieczorek AP, Shobeiri SA, et al. Interobserver and interdisciplinary reproducibility of 3D endovaginal ultrasound assessment of pelvic floor anatomy. Int Urogynecol J. 2011; 22(1): 53–59.
    CrossRefPubMed
  24. Santoro GA, Wieczorek AP, Dietz HP, et al. State of the art: an integrated approach to pelvic floor ultrasonography. Ultrasound Obstet Gynecol. 2011; 37(4): 381–396.
    CrossRefPubMed
  25. Masata J, Martan A, Svabik K, et al. Ultrasound imaging of the lower urinary tract after successful tension-free vaginal tape (TVT) procedure. Ultrasound Obstet Gynecol. 2006; 28(2): 221–228.
    CrossRefPubMed
  26. Dietz HP. Why pelvic floor surgeons should utilize ultrasound imaging. Ultrasound Obstet Gynecol. 2006; 28(5): 629–634.
    CrossRefPubMed
  27. Caputo RM, Benson JT. The Q-tip test and urethrovesical junction mobility. Obstet Gynecol. 1993; 82(6): 892–896.
    PubMed

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