European Radiology

, Volume 13, Issue 8, pp 2031–2037

High-resolution endovaginal MR imaging in stress urinary incontinence

  • Jaap Stoker
  • Elena Rociu
  • J. L. H. Ruud Bosch
  • Embert J. Messelink
  • Victor P. M. van der Hulst
  • Annette G. Groenendijk
  • Marinus J. C. Eijkemans
  • Johan S. Laméris
Urogenital

DOI: 10.1007/s00330-003-1855-2

Cite this article as:
Stoker, J., Rociu, E., Bosch, J.L.H.R. et al. Eur Radiol (2003) 13: 2031. doi:10.1007/s00330-003-1855-2

Abstract

The causes of stress urinary incontinence are not completely known. Recent papers have stressed the importance of more anatomical information, which may help to elucidate the mechanism of stress urinary incontinence. The purpose of this study was to evaluate the prevalence of lesions of the urethral support mechanism and lesions (defects and scars, thinning) of levator ani muscle with endovaginal MRI in a case-control study. Forty women (median age 52 years, age range 40–65 years)—20 patients with stress urinary incontinence (cases) and 20 age-matched healthy volunteers (controls)—underwent endovaginal MRI: axial, coronal, and sagittal T2-weighted turbo spin echo. The examinations were evaluated for the presence of lesions of urethral supporting structures and levator ani and scar tissue of the levator ani. The thickness of the levator ani muscle was measured. Lesions of the urethral support system and levator ani were significantly more prevalent in cases than in controls (p<0.01). Median levator ani thickness in patients was significantly lower than in healthy controls [2.5 mm (range 0.9–4.1 mm) vs 3.9 mm (range 1.4–7 mm)] (p<0.01). This study indicates a relationship between stress urine incontinence and the presence of lesions of the urethral support and levator ani and levator ani thinning.

Keywords

Incontinence Pelvic floor Magnetic resonance imaging Endoluminal coils 

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • Jaap Stoker
    • 1
  • Elena Rociu
    • 1
    • 2
  • J. L. H. Ruud Bosch
    • 3
  • Embert J. Messelink
    • 4
    • 7
  • Victor P. M. van der Hulst
    • 5
  • Annette G. Groenendijk
    • 6
  • Marinus J. C. Eijkemans
    • 8
  • Johan S. Laméris
    • 1
  1. 1.Department of RadiologyAcademic Medical Center, University of AmsterdamAmsterdamThe Netherlands
  2. 2.Department of RadiologyErasmus Medical CenterRotterdamThe Netherlands
  3. 3.Department of UrologyErasmus Medical CenterRotterdamThe Netherlands
  4. 4.Department of UrologyAcademic Medical Center, University of AmsterdamAmsterdamThe Netherlands
  5. 5.Department of RadiologyOnze Lieve Vrouwe GasthuisAmsterdamThe Netherlands
  6. 6.Department of GynecologyOnze Lieve Vrouwe GasthuisAmsterdamThe Netherlands
  7. 7.Department of UrologyOnze Lieve Vrouwe GasthuisAmsterdamThe Netherlands
  8. 8.Department of Public HealthErasmus Medical CenterRotterdamThe Netherlands

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