Prediction of the Severity of Female SUI by Measuring New Static and Dynamic Ultrasound Parameters of the Urethra

The urinary incontinence is a disorder which affects 25 to 45% of women. Nowadays, the role of urethral tissue in IUD is not explored although well viewed in perineal ultrasound. Our actual knowledge demonstrates that urodynamic ultrasound is reliable to establish the bladder neck mobility. And the posterior urethral wall mobility was often associated to the stress urinary incontinence. Two elements appeared to indicate the elasticity of the urethral environment: functional length urethral variation and urethral closure angle variation during Valsalva manoeuvres compared to rest. This study aims to evaluate the correlation of the ultrasonic functional length of the urethra and the incontinence urinary disorder for the purpose to predict the severity of this syndrome.

Inclusion criteria

• All patients aged over 18 years addressed to pelvic ultrasound

Exclusion criteria

• Pregnant
• Post-partum (under 6 month of childbirth)
• Operated for a genitourinary prolapse or/and urinary incontinence
• Utero vaginal symptomatic prolapse
• Overactive bladder ± UI by
• Dysuria
• Severe deep pelvic endometriosis
• Respiratory failure (Unable to perform the Valsalva manoeuvres)
• History of pelvic cancer
• Unable to understand the information communicated