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Cross-sectional imaging following surgical interventions for stress urinary incontinence in females

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Abstract

Stress urinary incontinence (SUI) is a condition in which the weakness of the pelvic floor muscles causes unintentional loss of urine. For patients who are unable to achieve symptomatic improvement from lifestyle modification and pharmacotherapy, surgical placement of the pelvic slings or the use of urethral bulking agents has been shown to provide tremendous symptomatic improvement. Learning to recognize the pelvic slings and to identify their complications on imaging is invaluable; however, this is challenging because of the change in the local anatomy after surgical placement of the sling. In this paper, we present CT and MR imaging to demonstrate the surgical and non-surgical treatments of female SUI and their complications. Through this pictorial essay, our goal is to familiarize radiologists with recognizing the various forms of treatment for SUIs, the relevant pelvic anatomy, and complications that may occur secondary to the surgical placement of the pelvic slings.

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Funding

This study was funded by RSNA medical student research grant that was granted to Megha Nayyar.

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Authors and Affiliations

  1. University of California, Irvine School of Medicine, 252 Irvine Hall, Irvine, CA, 92697, USA

    Brian C. Jung & Ngoc-Anh Tran

  2. Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA

    Sadhna Verma

  3. Department of Urology, University of California, Irvine School of Medicine, Orange, CA, USA

    Rahul Dutta

  4. Department of Radiology, University of California, Irvine School of Medicine, Orange, CA, USA

    Paul Tung, Michael Mousa, Eduardo Hernandez-Rangel & Chandana Lall

  5. Keck School of Medicine of USC, Los Angeles, CA, USA

    Megha Nayyar

Authors
  1. Brian C. Jung
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  2. Ngoc-Anh Tran
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  3. Sadhna Verma
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  9. Chandana Lall
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Correspondence to Brian C. Jung.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

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Jung, B.C., Tran, NA., Verma, S. et al. Cross-sectional imaging following surgical interventions for stress urinary incontinence in females. Abdom Radiol 41, 1178–1186 (2016). https://doi.org/10.1007/s00261-016-0684-0

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  • DOI: https://doi.org/10.1007/s00261-016-0684-0

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