Evaluation of the Effect of Vaginal Delivery on Stress Urinary Incontinence and Bladder Neck Mobility with Transperineal Ultrasonography

Authors : Hüseyin Aytuğ Avşar, Ufuk Atlıhan, Onur Yavuz, Can Ata, Selçuk Erkılınç, Tevfik Berk Bıldacı
Pages : 45-50
Doi:10.38136/jgon.1472035
View : 63 | Download : 37
Publication Date : 2025-03-22
Article Type : Research Paper
Abstract :Aim: Stress urinary incontinence is a common and distressing situation in females, impacting emotional and psychological well-being by interrupting sexual, physical, and social forms of life. Perineal trauma, especially at childbirth, is one of the most common contributing factors. The objective of this research is assessing the impact of vaginal delivery, a factor known to elevate the likelihood of postpartum stressxincontinence, on bladder neck mobility. This evaluation will be conducted utilizing transperinealxultrasonography, a noninvasivexand well-toleratedxdiagnostic technique. Materials and Methods: In our study, 116 patients who gave birth in our hospital between January 2020 and May 2022 were evaluated retrospectively. The presence of stress urinary incontinence and transperineal ultrasonography data of all patients were examined from the patient files. To evaluate changes in bladder neck motility, ultrasound measurements made both prenatally and postnatally were evaluated retrospectively. Results: With regard to the demographic values of the patients, a statistically significant difference was seen in terms of the presence of urinary incontinence when multiparous and primiparous patients were compared with patients in the cesarean section group (p:0.01). There was a significant difference in ΔDx, ΔDy, and M values for the cesarean delivery group as compared to both the primiparous and multiparous vaginal delivery groups (p<0.05). Conclusion: Transperineal ultrasound seems to be a suitable method for assessing bladder neck mobility. Vaginal delivery leads to an elevation in two-dimensional and vectorial bladder neck mobility during the Valsalva maneuver compared to elective cesarean delivery.
Keywords : Mesane boynu hareketliliği, perineal ultrason, stres üriner inkontinans, vajinal doğum

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