Diagnostic efficacy of pelvic floor ultrasound in the characteristics of stress urinary incontinence after cesarean section and biofeedback efficacy evaluation

WANG Huayi; WU Yunzhe; ZHANG Zhongmei; HU Jiangmin; ZHANG Hongyu

doi:10.7619/jcmp.20232279

Journal of Clinical Medicine in Practice > 2024 > 28(4): 120-124. > DOI: 10.7619/jcmp.20232279

WANG Huayi, WU Yunzhe, ZHANG Zhongmei, HU Jiangmin, ZHANG Hongyu. Diagnostic efficacy of pelvic floor ultrasound in the characteristics of stress urinary incontinence after cesarean section and biofeedback efficacy evaluation[J]. Journal of Clinical Medicine in Practice, 2024, 28(4): 120-124. DOI: 10.7619/jcmp.20232279

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Diagnostic efficacy of pelvic floor ultrasound in the characteristics of stress urinary incontinence after cesarean section and biofeedback efficacy evaluation

Department of Ultrasound, Shijiazhuang People's Hospital of Hebei Province, Shijiazhuang, Hebei, 050000

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Received Date: July 18, 2023
Revised Date: October 31, 2023
Available Online: March 05, 2024

Graphical Abstract

Abstract

Abstract

Objective
To evaluate the diagnostic efficacy of pelvic floor ultrasound parameters in post-cesarean stress urinary incontinence (SUI) and biofeedback efficacy evaluation.
Methods
A total of 215 pregnant women who underwent cesarean section were selected by simple sampling method. According to whether postpartum SUI occurred, they were divided into SUI group (n=88) and non-SUI group (n=127). The SUI group received biofeedback therapy. The ultrasonic parameters of pelvic floor were compared between the two groups. The ultrasound parameters of pelvic floor in the SUI group were compared before and after treatment.
Results
Bladder neck descent (BND), urethral rotation angle (URA) as well as levator hiatal area (LHA) and posterior urethrovesical angle (PUVA) in Valsalva state of the SUI group were significantly higher than those in the non-SUI group (P < 0.05). After biofeedback therapy, the total effective rate of 88 patients with SUI after cesarean section was 94.32%. The BND, URA as well as LHA and PUVA in Valsalva state of the SUI group after treatment were significantly lower than those before treatment (P < 0.05). The area under the curve (AUC) of BND, URA, LHA and PUVA in predicting the effect of biofeedback on post-cesarean section SUI were 0.853, 0.897, 0.865 and 0.887, respectively.
Conclusion
Pelvic floor ultrasound parameters are highly effective in diagnosing SUI after cesarean section and evaluating the effect of biofeedback therapy.
- pelvic floor ultrasound parameters,
- cesarean section,
- stress urinary incontinence,
- biofeedback,
- treatment effect

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References

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Diagnostic efficacy of pelvic floor ultrasound in the characteristics of stress urinary incontinence after cesarean section and biofeedback efficacy evaluation

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