Volume 23 Issue 1
Jan.  2025
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LIU Shanshan, FANG Yue, ZHOU Yibo. Study on the pelvic floor ultrasound for evaluating the therapeutic effect level of mixed urinary incontinence in women[J]. Chinese Journal of General Practice, 2025, 23(1): 107-110. doi: 10.16766/j.cnki.issn.1674-4152.003846
Citation: LIU Shanshan, FANG Yue, ZHOU Yibo. Study on the pelvic floor ultrasound for evaluating the therapeutic effect level of mixed urinary incontinence in women[J]. Chinese Journal of General Practice, 2025, 23(1): 107-110. doi: 10.16766/j.cnki.issn.1674-4152.003846
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Study on the pelvic floor ultrasound for evaluating the therapeutic effect level of mixed urinary incontinence in women

doi: 10.16766/j.cnki.issn.1674-4152.003846

  • Department of Ultrasound, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang 321000, China

Funds:

 LSY19H180006

  • Received Date: 2024-02-28
    Available Online: 2025-02-13
    Abstract
  •   Objective  To improve the clinical treatment level of mixed urinary incontinence (MUI) and enrich the monitoring pathways of MUI condition, the feasibility of using pelvic floor ultrasound for the diagnosis and efficacy monitoring of MUI is explored.  Methods  A total of 170 female patients with MUI admitted to Jinhua Hospital Affiliated to Zhejiang University from June 2020 to September 2023 were randomly divided into a control group (85 cases) and an observation group (85 cases). Patients in the control group were treated with anti-urinary incontinence drugs combined with pelvic floor muscle rehabilitation training, while patients in the observation group were treated with nerve electrical stimulation. The changes in MUI clinical symptom indicators, urodynamic indicators, and pelvic floor ultrasound indicators of patients from before treatment to 12 weeks of treatment were monitored.  Results  After 4 weeks and 8 weeks of treatment, the observation group had significantly lower urinary incontinence frequency [(3.64±1.45) times, (1.36±0.48) times] and 1-hour urinary pad test leakage [(19.15±2.24) g, (5.13±1.18) g] compared to the control group [(6.25±1.74) times, (4.83±1.46) times and (24.73±3.16) g, (12.64±1.59) g, P < 0.001]. In terms of urodynamic indicators, the maximum urine flow rate in the observation group were significantly higher than those in the control group, while the detrusor muscle pressure at maximum urine flow rate were significantly lower than those in the control group (P < 0.001). In terms of pelvic floor ultrasound indicators, the bladder neck movement distance, urethral rotation angle, urethral infundibulum formation rate, and bladder urethral posterior angle in the Valsalva state of the observation group were significantly lower than those in the control group. However, after 12 weeks of treatment, there was no statistically significant difference in various urodynamic and pelvic floor ultrasound indicators between the two groups (P>0.05).  Conclusion  Pelvic floor ultrasound and urodynamic indicators can effectively reflect the changes in the therapeutic effect of prolonged MUI treatment duration. Pelvic floor ultrasound has the characteristics of non-invasive, convenient, low-cost, and easy to repeat detection, making it more advantageous in monitoring the condition and evaluating the therapeutic effect of MUI.

     

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