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Войти в исследования European journal of obstetrics, gynecology, and reproductive biology · 2025
The role of genital hiatus and perineal body lengths in diagnosing stress and urge urinary incontinence.
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Kubra Bagdatlioglu, Nura Fitnat Topbas Selcuki, Huseyin Kiyak
Аннотация
BACKGROUND: Urinary incontinence (UI) significantly affects women's quality of life globally. Stress urinary incontinence (SUI) and urge urinary incontinence (UUI) are common types, with distinct symptoms and anatomical factors. Pelvic organ prolapse (POP), which shares similar risk factors, complicates the clinical picture. Identifying anatomical variations is crucial for accurate diagnosis and effective management.
OBJECTIVE: This case-control study investigated the association of genital hiatus (GH) and perineal body (PB) lengths with SUI and UUI and their predictive value in assessing UI risk. Secondary objectives included evaluating parameters like POP, age, BMI, and parity to identify additional risk factors.
METHODS: Participants included women with SUI, UUI, and controls without UI symptoms. GH and PB lengths were measured during gynecological exams, and POP was assessed using the Pelvic Organ Prolapse Quantification System (POP-Q). UI types were evaluated using the Questionnaire for Urinary Incontinence Diagnosis (QUID). Statistical analyses assessed the relationship between anatomical measurements, UI types, and other factors.
RESULTS: Among 157 participants, GH length was significantly longer in the SUI group than controls (p < 0.001), with no difference in UUI. PB length also differed significantly in the SUI group (p < 0.0001). Age and GH length were significant predictors of SUI, while age, BMI, and parity were associated with UUI.
CONCLUSION: GH length shows promise as a predictive marker for SUI. Incorporating its measurement in routine exams may help identify high-risk women early. Larger studies are needed to validate these findings and refine diagnostic strategies.
OBJECTIVE: This case-control study investigated the association of genital hiatus (GH) and perineal body (PB) lengths with SUI and UUI and their predictive value in assessing UI risk. Secondary objectives included evaluating parameters like POP, age, BMI, and parity to identify additional risk factors.
METHODS: Participants included women with SUI, UUI, and controls without UI symptoms. GH and PB lengths were measured during gynecological exams, and POP was assessed using the Pelvic Organ Prolapse Quantification System (POP-Q). UI types were evaluated using the Questionnaire for Urinary Incontinence Diagnosis (QUID). Statistical analyses assessed the relationship between anatomical measurements, UI types, and other factors.
RESULTS: Among 157 participants, GH length was significantly longer in the SUI group than controls (p < 0.001), with no difference in UUI. PB length also differed significantly in the SUI group (p < 0.0001). Age and GH length were significant predictors of SUI, while age, BMI, and parity were associated with UUI.
CONCLUSION: GH length shows promise as a predictive marker for SUI. Incorporating its measurement in routine exams may help identify high-risk women early. Larger studies are needed to validate these findings and refine diagnostic strategies.