Intraobserver and interobserver reliability of the three-dimensional ultrasound imaging of female urethral sphincter using a translabial technique.

Abstract:

INTRODUCTION AND HYPOTHESIS:The aim of the study was to assess the interobserver and intraobserver reliability of translabial 3D ultrasound imaging of the urethral sphincter in non-pregnant nulliparous asymptomatic women. METHODS:A study using a 3D translabial ultrasound on thirty-seven women was performed. Urethral sphincter parameters were measured by the same experienced clinician 2 weeks apart. Multiple axial cross-sectional areas at 1-mm distances were used to calculate urethral sphincter volumes. The same measurements were carried out by a second experienced clinician to assess the interobserver reliability. RESULTS:We found an excellent intraobserver reliability (interclass correlation coefficient, ICC >0.8) and good interobserver reliability (ICC >0.6). CONCLUSION:The described technique using multiple axial cross-sectional areas at set distances and a translabial approach is a reliable and accurate tool in the evaluation of the urethral sphincter. This should be used instead of mathematical formulas as the urethral sphincter is not a uniform geometrical sphere. The technique and values reported may help clinicians in the assessment of women with lower urinary tract disorders.

journal_name

Int Urogynecol J

authors

Digesu GA,Calandrini N,Derpapas A,Gallo P,Ahmed S,Khullar V

doi

10.1007/s00192-012-1669-3

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

1063-8

issue

8

eissn

0937-3462

issn

1433-3023

journal_volume

23

pub_type

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