Clinical and Transperineal Ultrasound Findings in Females with Stress Urinary Incontinence Versus Normal Controls

Study was aimed at comparing clinical and transperineal ultrasound findings of females with stress urinary incontinence and normal controls. Between 2004 and 2005, 40 women with stress urinary incontinence (mean age 47.5 years) diagnosed by history via ICIQ-SF (International consultation on Incontinence Questionnaire-Short Form) and 40 healthy female volunteers without any incontinence or LUTS (mean age 42.1 years) underwent transperineal ultrasonography for determination of posterior urethrovesical (beta) angle, bladder neck funneling and hypermobility of urethra. These findings were compared between patients and controls with regard to clinical data. Beta angle wider than 130 degrees, bladder neck funneling and hypermobility of urethra with transperineal ultrasonography were more common among cases than controls. LR (Likelihood Ratio) for urinary incontinence of these parameters was 2.5, 2.1 and 2, respectively. Perineal ultrasonography is highly associated with clinical findings. Hypermobility of urethra had highest sensitivity for diagnose of stress urinary incontinence but the specificity of bladder neck funneling in perineal sonography was higher.