THE CONTRIBUTION OF MAGNETIC-RESONANCE-IMAGING OF THE PELVIC FLOOR TO THE UNDERSTANDING OF URINARY-INCONTINENCE

被引:86
作者
KIRSCHNERHERMANNS, R [1 ]
WEIN, B [1 ]
NIEHAUS, S [1 ]
SCHAEFER, W [1 ]
JAKSE, G [1 ]
机构
[1] RHEIN WESTFAL TH AACHEN,DIAGNOST RADIOL CLIN,W-5100 AACHEN,GERMANY
来源
BRITISH JOURNAL OF UROLOGY | 1993年 / 72卷 / 05期
关键词
D O I
10.1111/j.1464-410X.1993.tb16254.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The anatomy of urinary incontinence and the underlying pathology is still under discussion. We examined 24 stress incontinent patients and 6 healthy volunteers. Magnetic resonance imaging (MRI) clearly shows that the urethra is not connected to the levator ani. The urethra is not fixed to deep perineal muscle layers. In stress incontinence the sharp angulation of the levator ani of healthy volunteers is lost in 65%. MRI shows degeneration of the levator ani muscle in 45% of stress incontinent patients. The extent of damage to the levator can clearly be identified with the aid of MRI.
引用
收藏
页码:715 / 718
页数:4
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