Ultrasound in Female Urinary Incontinence

J Med Ultrasound. 2023 Aug 3;32(1):14-20. doi: 10.4103/jmu.jmu_25_23. eCollection 2024 Jan-Mar.

Abstract

Urinary incontinence (UI) is a common health condition that may interfere with the quality of life. A comprehensive evaluation of female UI helps with effective and safe treatments. Ultrasound has gained popularity to explore UI recently because it can collect crucial information for treatment planning and counseling. Translabial and introital approaches are commonly and reliably applied to ultrasound. The images can be obtained using two-dimensional and three-dimensional ultrasounds. Ultrasound is the only modality capable of confirming the presence or absence of a mid-urethral sling (MUS) and is able to demonstrate bulking agents as well. Although some of the ultrasound findings may only be incidental or supplementary to the patient's symptoms, ultrasound benefits for investigating the pathophysiology of UI and surgical outcomes of MUS procedures. It is anticipated that standardization in terminology, measurement techniques, and reporting can be established in the near future.

Keywords: Bladder neck funneling; sling; sling location; surgical outcomes; urethral hypermobility; urinary incontinence.

Publication types

  • Review