Value of ultrasound shear wave elastography and gray-scale ultrasonography for assessing the bladder neck status of women with stress urinary incontinence.

Valor de la elastografía ultrasónica de onda cortante y de la ecografía en escala de grises para evaluar el estado del cuello vesical de mujeres con incontinencia urinaria de esfuerzo.

• Huaying Shan Department of Ultrasound, Huzhou Maternal and Child Health Hospital, Huzhou, Zhejiang Province, China. https://orcid.org/0009-0008-0275-4099
• Jingying Fei Department of Ultrasound, Huzhou Maternal and Child Health Hospital, Huzhou, Zhejiang Province, China. https://orcid.org/0009-0006-4354-0893
• Hua Chu Department of Ultrasound, Huzhou Maternal and Child Health Hospital, Huzhou, Zhejiang Province, China. https://orcid.org/0009-0003-9619-6887
• Mingsong Liu Department of Ultrasound, Huzhou Maternal and Child Health Hospital, Huzhou, Zhejiang Province, China. https://orcid.org/0009-0004-7455-6703
• Yan Lu Department of Ultrasound, Huzhou Maternal and Child Health Hospital, Huzhou, Zhejiang Province, China. https://orcid.org/0009-0002-6541-0732
• Xuekui Pan Department of Ultrasound, Huzhou Maternal and Child Health Hospital, Huzhou, Zhejiang Province, China. https://orcid.org/0009-0006-8693-3750

DOI: https://doi.org/10.54817/IC.v66n2a02

Palabras clave: cuello vesical, elastografia, incontinencia urinaria de esfuerzo, ultrasonografía

Resumen

Nuestro objetivo fue investigar el valor de la elastografía ultrasó- nica de onda cortante (US-SWE) y la ecografía en escala de grises para evaluar el estado del cuello vesical de pacientes con incontinencia urinaria de esfuerzo (IUE). Setenta y dos mujeres puerperales con IUE tratadas entre febrero de 2022 y septiembre de 2023 fueron seleccionadas como grupo de investigación, mientras que otras 50 mujeres embarazadas sanas que recibieron examen físico en el mismo período fueron seleccionadas como grupo control. A todos los sujetos se les realizó eco de US-SWE y escala de grises. Se compararon la altura, longitud, circunferencia y área del cuerpo perineal en reposo y el máximo, así como los espesores y los módulos elásticos de los labios anterior y posterior del cuello vesical. En el momento de la maniobra de Valsalva máxima (VM), el grupo de inves- tigación tuvo mayor altura, menores longitud y área y menor circunferencia del cuerpo perineal que el grupo control (p<0,05). La IUE materna se correlacionó positivamente con la altura del cuerpo perineal (r>0, p<0,05), pero negativamente con la longitud, circunferencia y área del cuerpo perineal y los módulos elásticos de los labios anterior y posterior del cuello vesical (r<0, p<0,05). Los módulos elásticos de los labios anterior y posterior del cuello vesical y la altura, longitud, circunferencia y área del cuerpo perineal en el VM máximo fueron valiosos para evaluar la IUE materna. Los parámetros de ecografía de US-SWE y escala de grises están estrechamente relacionados con la IUE materna, y el riesgo de IUE materna se puede evaluar tempranamente por el estado del cuello vesical.

Citas

Moore IS, James ML, Brockwell E, Perkins J, Jones AL, Donnelly GM. Multidisciplinary, biopsychosocial factors contributing to return to running and running related stress urinary incontinence in postpartum women. Br J Sports Med 2021; 55(22): 1286-1292. https://doi.org/10.1136/bj-sports-2021-104168

Gonzalez G, Vaculik K, Khalil C, Zektser Y, Arnold C, Almario CV, Spiegel BMR, Anger JT. Women’s Experience with Stress Urinary Incontinence: Insights from Social Media Analytics. J Urol 2020; 203(5): 962-968. https://doi.org/10.1097/JU.0000000000000706

Pannek J, Wöllner J. Management of stress urinary incontinence in female patients with spinal cord injury by autologous fascial sling: time for a revival? Spinal Cord Ser Cases 2022; 8(1): 57. https://doi.org/10.1038/s41394-022-00524-8

Bracchitta D, Costa P, Borojeni S, Ménard J, Bryckaert PE, Mandron É. Laparoscopic artificial urinary sphincter implantation in women with stress urinary incontinence: update on 13 years’ experience in a single centre. BJU Int 2019; 123(5A): E14-E19. https://doi.org/10.1111/bju.14653

Kadekawa K, Kawamorita N, Shimizu T, Kurobe M, Turnbull PS, Chandra S, Kam- bara T, Barton JC, Russell AJ, Yoshimura N. Effects of a selective androgen receptor modulator (SARM), GSK2849466A, on stress urinary incontinence and bladder activity in rats with ovariectomy-induced oestrogen deficiency. BJU Int 2020; 125(6): 911-919. https://doi.org/10.1111/bju.15022

Ličen U, Kozinc Ž. Using Shear-Wave Elastography to assess exercise-induced muscle damage: a review. Sensors 2022; 22(19): 7574. https://doi.org/10.3390/s22197574

Sussman RD, Syan R, Brucker BM. Guideline of guidelines: urinary incontinence in women. BJU Int 2020; 125(5): 638-655. https://doi.org/10.1111/bju.14927

Wang K, Xu X, Jia G, Jiang H. Risk factors for postpartum stress urinary incontinence: a systematic review and meta-analysis. Reprod Sci 2020; 27(12): 2129-2145. https:// doi.org/10.1007/s43032-020-00254-y

Moossdorff-Steinhauser HFA, Berghmans BCM, Spaanderman MEA, Bols EMJ. Prevalence, incidence and bothersomeness of urinary incontinence between 6 weeks and 1-year postpartum: a systematic review and meta-analysis. Int Urogynecol J 2021; 32(7): 1675-1693. https://doi.org/10.1007/s00192-021-04877-w

Griebling TL. Re: Ultrasound-assisted prompted voiding care for managing urinary incontinence in Nursing Homes: a randomized clinical trial. J Urol 2019; 202(4): 640. https://doi.org/10.1097/01.JU.0000577292.92810.d8

Hofstetter LW, Odéen H, Bolster BD Jr, Mueller A, Christensen DA, Payne A, Parker DL. Efficient shear wave elastography using transient acoustic radiation force excitations and MR displacement encoding. Magn Reson Med 2019; 81(5): 3153-3167. https://doi.org/10.1002/mrm.27647

Zhao B, Wen L, Chen W, Qing Z, Liu D, Liu M. A preliminary study on quantitative quality measurements of the urethral rhabdosphincter muscle by supersonic shear wave imaging in women with stress urinary incontinence. J Ultrasound Med 2020; 39(8): 1615-1621. https://doi.org/10.1002/jum.15255

Kochová P, Hympánová L, Rynkevic R, Cimrman R, Tonar Z, Deprest J, Kalis V. The histological microstructure and in vitro mechanical properties of pregnant and postmenopausal ewe perineal body. Menopause 2019; 26(11): 1289-1301. https://doi.org/10.1097/GME.0000000000001395

Burton CS, González G, Vaculik K, Khalil C, Zektser Y, Arnold C, et al. Female lower urinary tract symptom prevention and treatment strategies on social media: mixed correlation with evidence. Urology 2021; 49(150): 139-145. https://doi.org/10.1016/j.urology.2020.06.056

Bai X, Ma J, Xu W, Wang J, Liu S. Off-epicentral measurement of laser ultrasonic shear-wave velocity and its application to elastic-moduli evaluation. Ultrasonics 2023; 61(127): 106850. https://doi.org/10.1016/j.ultras.2022.106850

Aghaei H, Penkov GM, Solomoichenko DA, Toorajipour A, Petrakov DG, Jafarpour H, Ghosh S. Density-dependent relationship between changes in ultrasonic wave velocities, effective stress, and petro physical-elastic properties of sandstone. Ul-trasonics 2023; 61(132): 106985. https://doi.org/10.1016/j.ultras.2023.106985

Cashman S, Biers S, Greenwell T, Harding C, Morley R, Cooper D, Fowler S, Thiruchelvam N; BAUS Section of Female Neurological and Urodynamic Urology. Results of the British Association of Urological Surgeons female stress urinary incontinence procedures outcomes audit 2014- 2017. BJU Int 2019; 123(1): 149-159. https://doi.org/10.1111/bju.14541

Du C, Lee W, Lucioni A, Kobashi K, Lee U. Do patient education materials on female pelvic floor disorders meet readability standards? Putting them to the test. Urol Pract 2020; 7(4): 288-293. https://doi.org/10.1097/UPJ.0000000000000100

Ling C, Shek KL, Gillor M, Caudwell-Hall J, Dietz HP. Is location of urethral kin-king a confounder of association between urethral closure pressure and stress urinary incontinence? Ultrasound Obstet Gynecol 2021; 57(3): 488-492. https://doi.org/10.1002/uog.22153

Yang E, Yang SH, Huang WC, Yeh SC, Yang JM. Association of baseline pelvic floor muscle activities with sexual and urinary functions in female stress urinary incontinence. J Sex Med, 2021; 18(10): 1698-1704. https://doi.org/10.1016/j.jsx m.2021.07.013

Kuprasertkul A, Christie AL, Lemack GE, Zimmern P. Long-term results of Burch and autologous sling procedures for stress urinary incontinence in E-SISTEr participants at 1 Site. J Urol 2019; 202(6): 1224-1229. https://doi.org/10.1097/JU.0000000000000421

Illiano E, Costantini E. Re: Long-term results of Burch and autologous sling procedures for stress urinary incontinence in E-SISTEr Participants at 1 Site. Eur Urol 2020; 77(6): 756. https://doi.org/10.1016/j.eururo.2020.02.022.