Document Detail


Translabial color Doppler for imaging in urogynecology: a preliminary report.
MedLine Citation:
PMID:  10492875     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: A prospective study was conducted to evaluate the use of color Doppler ultrasound in the investigation of female urinary incontinence. METHODS: Thirty-seven patients underwent a full urodynamic assessment and translabial ultrasound examination using color Doppler-capable equipment with 5-7-MHz curved array transducers, both in the supine and in the erect positions. RESULTS: More than minimal leakage was seen in 13 patients by Doppler and in 16 by fluoroscopic imaging. Results were in agreement in 28/37 cases (kappa 0.49). The observed discrepancies may have been due to initial technical difficulties, differences in bladder filling and the presence of a catheter on fluoroscopic imaging. In five incontinent patients, urethral flow velocities ranged from 0.064 to 0.34 m/s, which is equivalent to physiological venous and slow arterial blood flow and one to two orders of magnitude above the detection threshold of standard Doppler ultrasound equipment. CONCLUSIONS: Translabial color Doppler imaging of the lower urinary tract allows the documentation of fluid leakage from the bladder. It has the potential to become the new imaging standard for urogynecology.
Authors:
H P Dietz; L McKnoulty; B Clarke
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology     Volume:  14     ISSN:  0960-7692     ISO Abbreviation:  Ultrasound Obstet Gynecol     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-11-03     Completed Date:  1999-11-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9108340     Medline TA:  Ultrasound Obstet Gynecol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  144-7     Citation Subset:  IM    
Affiliation:
Royal Women's Hospital, Brisbane, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Gynecology / methods*
Humans
Middle Aged
Observer Variation
Perineum / ultrasonography
Pilot Projects
Prospective Studies
Ultrasonography, Doppler, Color* / standards
Urethra / ultrasonography
Urinary Bladder / ultrasonography
Urinary Incontinence / physiopathology*,  ultrasonography
Urodynamics
Urology / methods*
Video Recording

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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