The comparison of MRI findings with severity score of incontinence after pubovaginal sling surgery; [Pubovajinal sling operasyonu sonrası inkontinans şiddet indeksi ile MRG bulgularının karşılaştırılması]

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dc.contributor.authorTarhan S.
dc.contributor.authorGümüş B.
dc.contributor.authorTemeltaş G.
dc.contributor.authorYilmaz Ovali G.
dc.contributor.authorSerter S.
dc.contributor.authorGöktan C.
dc.date.accessioned2024-07-22T08:21:12Z
dc.date.available2024-07-22T08:21:12Z
dc.date.issued2010
dc.description.abstractAim: To investigate the relationship between postoperative MRI findings and the severity score of incontinence in patients treated with pubovaginal sling surgery. & Materials and methods: Fifty-two female patients treated with pubovaginal slings were included in the study. These patients' severity scores of incontinence were evaluated in the postoperative 6th month. All the patients were examined using MRI on the same day. A T2-weighted sagittal image of the midline structures, including the symphysis, urethra, and coccyx, was obtained at rest and at maximal strain. The mobility of the bladder floor and change in the posterior urethrovesical angle were calculated for each patient. Relationships between the severity score of incontinence and mobility of the bladder floor and change in the posterior urethrovesical angle were analyzed using Spearman's rank correlation coefficients by means of SPSS.& Results: A positive correlation was found between the severity score of incontinence and the mobility of the bladder neck and also between the score and the degree of posterior urethrovesical angle (r = 0.797, P = 0.000; r = 0.62, P = 0.000, respectively). There was also a positive correlation between the severity score of incontinence and the increase in posterior urethrovesical angle during Valsalva's maneuver (r = 0.47, P = 0.02). & Conclusion: MRI is a non-invasive diagnostic method for the evaluation of bladder floor position, mobility of the bladder neck, and posterior urethrovesical angle in patients with stress urinary incontinence. It can play a major role in the postoperative follow up of stress urinary incontinence. MRI can also be used for the assessment of success in pubovaginal sling surgery. © TÜBİTAK.
dc.identifier.DOI-ID10.3906/sag-0904-35
dc.identifier.issn13000144
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/18497
dc.language.isoTurkish
dc.publisherTurkiye Klinikleri Journal of Medical Sciences
dc.rightsAll Open Access; Bronze Open Access
dc.subjectDiagnosis
dc.subjectFloors
dc.subjectMagnetic resonance imaging
dc.subjectNoninvasive medical procedures
dc.subjectPatient monitoring
dc.subjectSurgery
dc.subjectUrology
dc.subjectBladder neck
dc.subjectMaximal strain
dc.subjectNon-invasive diagnostics
dc.subjectPositive correlations
dc.subjectSpearman's rank correlation coefficients
dc.subjectStress urinary incontinences
dc.subjectT2 weighted
dc.subjectUrinary incontinence
dc.subjectadult
dc.subjectarticle
dc.subjectbladder
dc.subjectbladder neck
dc.subjectcoccygeal bone
dc.subjectcorrelation analysis
dc.subjectcorrelation coefficient
dc.subjectdisease severity
dc.subjectfemale
dc.subjectfollow up
dc.subjecthuman
dc.subjectimage reconstruction
dc.subjectmajor clinical study
dc.subjectnon invasive measurement
dc.subjectnuclear magnetic resonance imaging
dc.subjectpostoperative care
dc.subjectpubis symphysis
dc.subjectpubovaginal sling
dc.subjectscoring system
dc.subjectstress incontinence
dc.subjecturethra
dc.subjectValsalva maneuver
dc.subjectSlings
dc.titleThe comparison of MRI findings with severity score of incontinence after pubovaginal sling surgery; [Pubovajinal sling operasyonu sonrası inkontinans şiddet indeksi ile MRG bulgularının karşılaştırılması]
dc.typeArticle

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