Ultrasound Assessment and Self-Perception of Pelvic Floor Muscle Function in Women with Stress Urinary Incontinence in Different Positions.

Objectives

This study analyzed the effect of different positions on pelvic floor muscle (PFM) function in women with and without stress urinary incontinence (SUI).

Methods

This study included women with (n = 17, research group) and without (n = 25, control group) SUI. Using abdominal ultrasound, PFM function (maximum contraction and endurance) was measured in four different positions: lying, sitting, standing and squatting. The level of difficulty perceived by the participants was recorded.

Results

In both groups, the best contraction was observed in the standing position and the weakest in the lying position. Women with SUI showed a lower ability to perform PFM contraction. A significant difference was found between the groups in the sitting and standing positions, and it was smaller in the research group. In the research group, the contraction displacement during sitting was 2.68 (1.67) mm versus 4.51 (2.62) mm in the control. The displacement during standing was 6.92 (3.50) mm versus 9.18 (5.05) mm, respectively (p < 0.05). In the research group, 52.9% reported the sitting position as the most difficult compared with only 12% in the control group.

Conclusions

Women with SUI have lower PFM function while standing or sitting, but not while lying, than those without SUI. Variations in PFM function across different positions exist. A new protocol for PFM examination should be written with the standing position included.