الفهرس 
INRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Over recent years the concept of stress urinary incontinence has gained general acceptance, as it is a relatively common condition in women that can have a significant impact on quality of life.
Diagnosis is made primarily on the basis of findings at physical examination. However, there is general agreement that a reliable evaluation and the treatment decision highly depend on the imaging assessment, as it is more likely to be successful if a survey of the entire pelvis is performed prior to therapy.
The application of transvaginal ultrasound to dynamic pelvic imaging transformed this method into the preferred imaging modality in the evaluation of patients with stress urinary incontinence.
Thus the aim of this study was:
a) Define the normal range of dynamic transvaginal ultrasonographic appearances in a group of asymptomatic women,
b) Identify the multiple morphological and functional abnormalities that may be present in patients with stress urinary incontinence, in order to recognize its signs at ultrasonographic imaging.
c) Correlate these findings with the age and parity status.
d) Discuss protocols and criteria for performing and interpreting introital and dynamic transvaginal ultrasonographic imaging studies of the female pelvis.
The study comprised 30 patients with clinically diagnosed stress urinary incontinence referred from the urologic clinic and gynecological surgery departments, and a control group of 10 asymptomatic volunteers. All are of different age groups as well as parity status.Transvaginal and intorital ultrasound was performed on system in lithotomy position. The static images acquired with the patient at rest and dynamic images acquired with the patient at straining. Evaluation of morphometric parameters included the levator ani muscle, urethrovesical junction, bladder neck and urethral configuration were taken. Rest and straining images were compared to determine the range of normal appearances. Dynamic imaging outlines the position and movement of the pelvic organs with detection of prolapse
Transvaginal ultrasound can provide accepted, inexpensive, valuable information that will help in the diagnosis of this condition through evaluation of the bladder wall thickness and urethral parameters in relation to clinical picture.