The Value of Automated Pelvic Floor Ultrasound in Evaluating New Urinary Incontinence after Surgery for Pelvic Floor Dysfunction

Abstract

Objective: To analyze the value of automated pelvic floor ultrasound in evaluating new urinary incontinence after surgery for pelvic floor dysfunction. Methods: A total of 120 patients with pelvic floor dysfunction who were treated in our hospital from January 2019 to January 2021 were selected, and they were diagnosed as pelvic floor dysfunction after the study. They underwent obturator vaginal tension free sling surgery (TVT-O), simple anterior and posterior vaginal wall repair, and anterior pelvic mesh implantation in our hospital. And 40 patients with benign gynecological diseases who underwent simple hysterectomy were selected as the control group. All patients were investigated with a brief urinary incontinence questionnaire (ICIQ-SF questionnaire) and automated pelvic floor ultrasound after surgery. To evaluate the consistency between automated pelvic floor ultrasound and the ICIQ-SF questionnaire, the specificity, sensitivity, positive predictive value, and negative predictive value of new postoperative SUI were calculated using specific ultrasound parameters measured by automated pelvic floor ultrasound. Results The urethral rotation angle (58.61 ± 41.02) ° in the repair group was significantly greater than that in the mesh group (25.69 ± 24.55) °, with a statistically significant difference (P<0.05). The sensitivity, specificity, positive predictive value, and negative predictive value for the combined diagnosis of new postoperative SUI were 27%, 98%, 69%, and 90%, respectively. Conclusion The combination of ICIQ-SF questionnaire and automated pelvic floor ultrasound can effectively improve the value of postoperative follow-up in patients with PFD. Automated pelvic floor ultrasound assessment of new urinary incontinence after PFD has significant clinical significance.