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Pubococcygeal activity on perineal ultrasound in incontinent women

Introduction and hypothesis The aim of this study was to investigate the applicability and reproducibility of perineal ultrasound (US) in the evaluation of the pubococcygeal muscle (PCM) activity in urinary incontinent women. Methods Thirty women were assessed twice by two examiners who measured the...

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Published in:International Urogynecology Journal 2011-03, Vol.22 (3), p.315-320
Main Authors: de Abreu Etienne, Mara, de Oliveira, André Lima, da Silva Carramão, Silvia, Macea, José Rafael, Aoki, Tsutomu, Auge, Antonio Pedro Flores
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container_title International Urogynecology Journal
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creator de Abreu Etienne, Mara
de Oliveira, André Lima
da Silva Carramão, Silvia
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Aoki, Tsutomu
Auge, Antonio Pedro Flores
description Introduction and hypothesis The aim of this study was to investigate the applicability and reproducibility of perineal ultrasound (US) in the evaluation of the pubococcygeal muscle (PCM) activity in urinary incontinent women. Methods Thirty women were assessed twice by two examiners who measured the angle between the lateral bundles of the PCM. The 2D US on coronal view evaluated the PCM performance during squeezing, straining, and resting. Results There was significant correlation ( p  ≤ 0.001) in all measurements to both examiners, except for the contraction on their second assessment. The images showed asymmetries of muscle volume and activity. Five women (16.7%) had difficulty to rest after squeezing or straining, six (20%) first opened the muscle bundles when asked to squeeze them, and eight (26.7%) had no movement during different moments. Conclusions The 2D perineal US on coronal view is useful to evaluate PCM activity. It is easily applicable and reproducible.
doi_str_mv 10.1007/s00192-010-1251-9
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subjects Adult
Female
Gynecology
Humans
Medicine
Medicine & Public Health
Middle Aged
Muscle Contraction - physiology
Muscle, Skeletal - diagnostic imaging
Muscle, Skeletal - physiopathology
Original Article
Pelvic Floor - diagnostic imaging
Pelvic Floor - physiopathology
Perineum - diagnostic imaging
Physical Therapy Modalities
Pilot Projects
Reproducibility of Results
Ultrasonography
Urinary Incontinence - diagnostic imaging
Urinary Incontinence - physiopathology
Urinary Incontinence - therapy
Urology
title Pubococcygeal activity on perineal ultrasound in incontinent women
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