ПРОЦЕНКА НА ЕФЕКТИВНОСТА НА ПЛИКАТУРИРАНА КОЛПОСУСПЕНЗИЈА КАЈ ПАЦИЕНТКИ СО СТРЕС УРИНАРНА ИНКОНТИНЕНЦИЈА

Abstract

Introduction. Urinary incontinence (UI) is a common medical issue that can affect women of all ages. UI is rarely life-threatening, but impacts patients’ mental, physical and social well-being. Ultrasound in urogynecology enables accurate evaluation of both static and dynamic relationships in the lower urinary tract. Methods. This study aimed to demonstrate the use of ultrasound in pre- and postoperative evaluation of patients with SUI. Additionally, it assessed the effectiveness of pleated colposuspension. A total of 40 preoperative SUI patients were included, divided into two subgroups with 20 patients each: the first group was underwent an isolated colposusension, and the second, in addition, underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy. Using transperineal 2D ultrasound, α and β angles were measured at rest and during Valsalva maneuver. Results. The α and β angles were significantly lower in postoperative state compared to the Preoperative one. A t-test confirmed that these increments were statistically significant (p≤0.05). Conclusion. By monitoring α and β angles pre- and postoperatively, clinicians can objectively evaluate the success of surgical interventions for SUI.