Jenn-Ming Yang |
------>authors3_c= ------>paper_class1=1 ------>Impact_Factor=3.952 ------>paper_class3=2 ------>paper_class2=1 ------>vol=182 ------>confirm_bywho=syunei ------>insert_bywho=sherry ------>Jurnal_Rank=15.8 ------>authors4_c= ------>comm_author= ------>patent_EDate=None ------>authors5_c= ------>publish_day=1 ------>paper_class2Letter=None ------>page2=2396 ------>medlineContent= ------>unit=J0400 ------>insert_date=20091031 ------>iam=2 ------>update_date=None ------>author=??? ------>change_event=4 ------>ISSN= ------>authors_c= ------>score=500 ------>journal_name=THE JOURNAL OF UROLOGY ------>paper_name=Reliability of Real-Time Ultrasound to Detect Pelvic Floor Muscle Contraction in Urinary Incontinent Women ------>confirm_date=20091031 ------>tch_id=083024 ------>pmid=19781720 ------>page1=2392 ------>fullAbstract=PURPOSE: We determined the reliability of real-time ultrasound for detecting involuntary or reflex pelvic floor muscle contraction. MATERIALS AND METHODS: A total of 118 women with the symptomatic and urodynamic evidence of stress urinary incontinence were recruited in a 3-year period from tertiary referral urogynecology clinics. Under the oral instruction of strong coughing involuntary pelvic floor muscle contraction was detected using introital ultrasound in real-time and cine loop modes. Two dynamic imaging features were considered involuntary pelvic floor muscle contraction, including an inward clitoral motion and a superior-anterior anorectal lift before or during coughing. RESULTS: Real-time ultrasound had good reliability to detect involuntary pelvic floor muscle contraction. For interobserver and intra-observer reliability Cohen~s kappa was 0.645 to 0.679. Of the 118 women real-time ultrasound before or during coughing showed an inward clitoral motion in 100 (93%) and an anorectal lift in 108 (92%). Neither type of contraction during coughing was identified in 2 women. Although the 2 contraction patterns were synchronized in 88% of women, for this synchronization kappa was only 0.159, indicating poor coordination between these 2 involuntary activities. CONCLUSIONS: Real-time ultrasound is a reliable tool for detecting involuntary pelvic floor muscle contraction. ------>tmu_sno=None ------>sno=22848 ------>authors2=Shwu-Huey Yang ------>authors3=Shu-Yu Yang ------>authors4=Evelyn Yang ------>authors5=Wen-Chen Huang ------>authors6= ------>authors6_c= ------>authors=Jenn-Ming Yang ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c= ------>publish_area=0 ------>updateTitle=Reliability of real-time ultrasound to detect pelvic floor muscle contraction in urinary incontinent women. ------>language=2 ------>check_flag=None ------>submit_date=None ------>country=None ------>no= ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2009 ------>submit_flag=None ------>publish_month=11 |