Ramírez-Ley CR, Ramírez-Lucero CF, Arias-Rosales EC

Idioma: Español
Referencias bibliográficas: 40
Paginas: 319-324
Archivo PDF: 491.29 Kb.

RESUMEN

La incontinencia urinaria afecta a 46.5% de las mujeres en nuestro país, se sabe que su prevalencia aumenta conforme avanza la edad. La valoración clínica no es suficiente para realizar un diagnóstico adecuado a excepción de casos selectos, por lo que se requiere de varias técnicas de estudio tales como: cistometría simple, cistoscopia, ultrasonido y urodinamia. La prueba urodinámica es el estándar de oro para el diagnóstico de incontinencia urinaria; sin embargo, es caro y de acceso difícil, pensamos que el ultrasonido no se ha popularizado y es sub-utilizado para este fin, debido a las múltiples técnicas y variables descritas para su aplicación en estas pacientes.
Objetivo: Describir la anatomía ecográfica y una técnica validada para la realización del ultrasonido del suelo pelviano cuya especificidad es de 79.6% con una sensibilidad de 92% en el diagnóstico de hipermovilidad uretral.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Heesakkers J, Gerretsen R. Urinary incontinence: Sphincter functioning from an urological perspective. Digestion 2004;69:93-101.

2. Diokno A, Estanol MV, Mallet V. Epidemiología de la disfunción de vías urinarias bajas. En: Gabbe S, Scott J. Clínicas obstétricas y ginecológicas, (Ed.) McGraw-Hill Interamericana, México; 2004.pp.35-41.

3. Velazquez-Magaña M, Bustos-López H, Rojas-Poceros G, et al. Prevalencia y calidad de vida en mujeres con incontinencia urinaria. Estudio en población abierta. Ginecol Obstet México 2007;75:347-56.

4. Hampel C, Wienhold D, Benken N, et al. Prevalence and natural history of female incontinence. Eur Urol 1997;32(Suppl2):3-12.

5. Berek J. Incontinencia, prolapso y trastornos del piso pélvico, En: Ginecología de Novak, (Ed.) McGraw Hill. 13a Ed. México; 2002.pp.541.

6. De Lancey JO. Structural support of the urethra as it relates to stress urinary incontinence: The Hammock hypothesis. Am J Obstet Gynecol 1994;170:1713-20.

7. Mostwin JL, Yang A, Sanders R, Genadry R. Radiography, sonography, and magnetic resonance imaging for stress incontinence. Urol Clin North Am 1995;22:539-49.

8. Jensen J, Rex Nielsen, Ostergard D. The Role of patient history in the diagnosis of urinary incontinence, diagnosis of urinary incontinence. Obstet Gynecol 1994;83(5 Pt2):904-10.

9. Montz F, Stanton S. Q-tip test in female urinary incontinence. Obstet Gynecol 1986;67:258-60.

10. Paul Abrams. Urodynamics in clinical practice. En: Paul Abrams Urodynamics, (Ed) Springer-Verlag, 3rd Ed London; 2006.pp.155.

11. White RD, McQuown D, McCarthy T, Ostergard D. Real time ultrasonography in the evaluation of urinary stress incontinence. Am J Obstet Gynecol 1980;138:235-7.

12. Troyano J, Clavijo M, González-Lorenzo A, et al. Female pelvic floor. Descriptive anatomy and clinical exploration by transvaginal ultrasound. Am J Obstet Gynecol 1980;138:235-7.

13. Chang T, Bohm-Velez M, Mendelson E. Nongynecologic applications of transvaginal sonography. AJR Am J Roentgenol 1993;160:87-93.

14. Kondo Y, Homma Yukio, Takahashi S. Transvaginal ultrasound of urethral sphincter at the mid urethra in continent and incontinent women. J Urol 2001;165:149-52.

15. Hok M, Van Bolhuis C, Vierhout ME. Vaginal ultrasound studies of bladder neck mobility. Br J Obstet Gynaecol 1995;102:47-53.

16. Dietz H, Mcknoulty L, Clarke B. Translabial color Doppler for imaging in urogynecology: a preliminary report. Ultrasound Obstet Gynecol 1999;14:144-7.

17. Martensson O, Duchek M. Translabial sonography in evaluating the lower female urogenital tract. AJR Am J Roentgenol 1996;166:1327-31.

18. Cassadó J, Pessarrodona A, Tulleuda R, Cabero L. Introital ultrasonography: a comparison of women with stress incontinence due to urethral hypermobility and continent women. BJU Int 2006;98:822-8.

19. Sendag F, Vidinli Halit, Kazandi M. Role of perineal sonography in the evaluation of patients with stress urinary incontinence. Aust N Z J Obstet Gynaecol 2003;43:54-7.

20. Schaer G, Perucchini D, Munz E, et al. Sonographic evaluation of the bladder neck in continent and stress-incontinent women. Obstet Gynecol 1999;93:412-6.

21. Schaer G, Koechli O, Shuessler B, Haller U. Usefulness of ultrasound contrast medium in perineal sonography for visualization of bladder neck funneling- first observations. Urology 1996;47:452-3.

22. Pregazzi R, Sartore A, Bortoli P, et al. Perineal ultrasound eval of urethral angle and bladder neck mobility in women with stress urinary incontinence. BJOG 2002;109:821-7.

23. Schaer G, Schmid T, Peschers U, Delancey J. Intraurethral ultrasound correlated with urethral histology. Obstet Gynecol 1998;91:60-4.

24. Major H. Cullgian P, Heit M. Urethral sphincter morphology in women with detrusor instability. Obstet Gynecol 2002;99:63-8.

25. Cassadó-Garriga J. Valoración ecográfica del tracto urinario inferior y suelo pélvico. En: Espuña M, Salinas J. Tratado de uroginecología, incontinencia urinaria, (Ed) Ars Médica. Barcelona, España; 2004. pp.117-131.

26. Umek W, Obermair A, Stutterecker D, et al. Three-dimensional ultrasound of the female urethra: comparing transvaginal and transrectal scanning. Ultrasound Obstet Gynecol 2001;17:425-30.

27. Athanasiou S, Khullar V, Boos K, et al. Imaging the urethral sphincter with three-dimensional ultrasound. Obstet Gynecol 1999;94:295-301.

28. Khuar V, Cardozo L, Salvatore S. Hill S. Ultrasound: a noninvasive screening test for detrusor instability. Br J Obstet Gynaecol 1996;103:904-8.

29. Wise B, Burton G, Cutner A, Cardozo L. Effect of vaginal ultrasound probe on lower urinary tract function. Br J Urol 1992;70:12-6.

30. Huang W, Yang Jenn. Bladder neck funneling on ultrasound cystourethrography in primary stress urinary incontinence: a sign associated with urethral hypermobility and intrinsic sphincter defiency. Urology 2003;61:936-41.

31. Chen G, Su T, Lin L. Applicability of perineal sonography in anatomical evaluation of bladder neck in women with and withour genuine stress incontinence. J Clin Ultrasound 1997;25:189-94.

32. Reddy A, DeLancey J, Zwica L, et al. On-screen vector-based ultrasound assessment of vesical nech movement. Am J Obstet Gynecol 2001;185:65-70.

33. Abu-Yousef M, Narayana A, Brown R, Franken E. Urinary bladder tumors studied by cistosonography. Radiology 1984;153:227-31.

34. Lo T, Horng S, Llang C, et al. Ultrasound assessment of mid-urethra tape at three year follow-up after tension-free vaginal tape procedure. Urology 2004;63:671-5.

35. Lo T, Wang A, Horng S, et al. Ultrasonographic and urodynamic evaluation after tension free vagina tape procedure (TVT). Acta Obstet Gynecol Scand 2001;80:65-70.

36. Martan A, Masata J, Halaska M, Voigt R. Ultrasound imaging of the lower urinary system in women alter Burch colposuspension. Ultrasound Obstet Gynecol 2001;17:58-64.

37. Harms L, Emons G, Bader W, et al. Funneling Before and after antiincontinence surgery, a prognostic indicator? Part 2: Tension free vaginal tape. Int Urogynecol J Pelvic Floor Dysfunct 2007;18:289-94.

38. Haylen T, Frazer M, Sutherst R, West C. Transvaginal ultrasound in the assessment of bladder volumes in women, preliminary report. Br J Urol 1989;63:149-51.

39. Gerard E, Lloyd L, Kubricht W, et al. Transvaginal ultrasound for the diagnosis of urethral diverticulum. J Urol 2003;169:1395-7.

40. Dietz H. The anterior compartment. En: Atlas of pelvic floor ultrasound, Dietz H, Hoyte L, Steensma A, Springer, (Ed) Springer-Verlag, London; 2008.pp.41-62.