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SUMMARY Objective: To determine clinical and diagnostic value of elastosonography (ES) in women with stress urinary incontinence (SUI). Material and methods: Thirty subjects with SUI and 30 subjects without SUI were compared in terms of elastosonographic suburethral tissue elasticity. SUI and bladder neck hypermobility was determined by pad test, Q-tip and stress tests. Measurements points included under bladder (UB), subcutaneous fatty tissue (SC), and the urethra (U) points. Three indices were calculated using these measurements (UB/SC, U/SC and UB/U). The diagnostic value of ES indices were investigated using receiver operating characteristic (ROC) curve analyses. Results: ES UB/SC (AUC=0.962, P=0.001) and U/SC (AUC=0.953, P=0.001) were significant predictors for stress test positivity. ES UB/SC (AUC=0.883, P=0.001) and U/SC (AUC=0.885, P=0.001) were significant predictors for pad test positivity. ES UB/SC (AUC=0.877, P=0.001) and U/SC (AUC=0.857, P=0.001) were significant predictors for Q tip test positivity. In linear regression analysis, stress test positivity was significantly associated with the ES UB/SC (R2=0.84, beta=0.369, P=0.026) and ES U/SC (R2=0.84, beta=0.496, P=0.003). Conclusion: Elastosonographic tissue elasticity determination is a promising tool in bladder neck hypermobility and SUI diagnosis, and may be used as an adjunctive method in selecting patients appropriate for stress urinary incontinence surgery.

The Utility Of Elastosonography For Assessing Suburethral Tissue Elasticity In Women With Stress Urinary Incontinence