الفهرس 
AbstractOnly 14 pages are availabe for public view
 |  | from | 106 |  |  |
| | | from | 106 | | |
Abstract
Summary
UI is a real life problem, diagnosis and treatment should be easy, available & cheap, it has not only physical effects but also psychological & social troubles. People should be aware about it and its effects. Our role as medical staff is to diagnose accurately then treat. The role of diagnosis is not only equivalent as treatment but also it is the first step in the right way of treatment
SUIis defined as outward flow involuntarily of urine when intra-abdominal pressure suddenly increases by any activity e.g. sneezing, laughing coughing, or jumping.
This study was performed to evaluate role of Transperineal ultrasound in female with stress urinary incontinence.
It had enrolled thirty five female patients, 17 controls and 17 cases, their age, BMI were matched. The 17 cases presented with stress urinary incontinence.
The study conducted from the period from November 2020 to November 2021
All patient were subjected to
• Full detailed history
• Laboratory investigation: urine analysis to exclude any infection.
• Radiological investigation including :
o Trans-abdominal ultrasonographyto exclude any pelvic abnormality
o Transperineal ultrasonography to measure alpha and beta angle at rest and also during Valsalva’s maneuver as well as other parameters namely, UB wall thickness, urethral width and length and the PUD at rest and during Valsalva’s maneuver
The results of the study were:
• Alphaand beta angles at stress, had a significant role in prediction of stress incontinence.
• The difference between the angles at stress and rest had also a significant role in stress incontinence prediction
• Alphaangle at stress and its different with rest had a higher sensitivity and specificity than beta angle.
• The alpha and beta angles had a significant role in increasing the probability of acquisition of incontinence after adjustment for age and gravidity
• Linearpositive correlation between the disease duration and alpha angle at rest and stress
• Patientswith incontinence during cough or sneezing had significant lower beta and alpha angles.