Application of Transperineal Pelvic Floor Ultrasound in Changes of Pelvic Floor Structure and Function Between Pregnant and Non-Pregnant Women

Overview

Journal Int J Womens Health

Publisher Dove Medical Press

Specialty Gynecology & Obstetrics

Date 2022 Sep 1

PMID 36046177

Authors

Zhihua Xu

Huiliao He

Beibei Yu

Huipei Jin

Yaping Zhao

Xiuping Zhou

Hu Huang

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate the changes of pelvic floor tissue structure and function between pregnant and non-pregnant women from the view of transperineal pelvic floor ultrasound.

Methods: Thirty-eight cases of women with a second singleton pregnancy and thirty-two cases of women with a first singleton pregnancy underwent transperineal pelvic floor ultrasound, and their results were compared with forty-two cases of healthy non-pregnant women.

Results: The differences of bladder neck descent (BND), rectal ampulla distance and levator hiatus area (LHA) among the three groups were statistically significant (P<0.05), and the differences of BND, rectal ampulla distance, LHA between the women with a second singleton pregnancy group and non-pragnent group were statistically significant (P<0.05). The BND, retrovesical angle at rest (RVA-R) and retrovesical angle underwent Valsalva maneuver (RVA-V) in the group of stress urinary incontinence (SUI) during pregnancy were larger than those in non-SUI group, with significant difference (P<0.05), especially BND and RVA-V (P = 0.00).

Conclusion: Transperineal pelvic floor ultrasound has a high resolution of pelvic floor structure and function changes during pregnancy, and can dynamically evaluate pelvic floor function, providing a theoretical basis for early diagnosis and prevention of female pelvic floor dysfunction (FPFD) in subsequent pregnancies.

Citing Articles

Application of transperineal pelvic floor ultrasound in postpartum pelvic organ injury and prolapse in women.

Deng S, Jiang Q, Zhang Y Am J Transl Res. 2024; 16(9):4830-4839.

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Electromyographic activity of pelvic floor muscles in different positions during the use an innovative vaginal educator: Cross-sectional study.

Duarte N, Azevedo Y, Furtado E, Araujo L, Bendelack R, Rodrigues C PLoS One. 2024; 19(3):e0291588.

PMID: 38536803 PMC: 10971574. DOI: 10.1371/journal.pone.0291588.

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