caa a22 4500 475811739 CHVBK 20180406123800.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1007/s001920050078 doi (NATIONALLICENCE)springer-10.1007/s001920050078 Effect of Intra-Abdominal Position of the Bladder Neck and Stability of its Supporting Structures on Pressure Transmission Ratio After Colposuspension [Elektronische Daten] [M. Barbič, B. Kralj] Abstract:: The aim of this prospective study was to evaluate the influence of the higher intra-abdominal position of the bladder neck and the stability of its supporting structures after colposuspension, on pressure transmission to the urethra at the level of the bladder neck. Twenty-eight patients were included in the study. The pressure transmission ratio (PTR) was calculated at the level of the bladder neck, whereas the position and mobility of the bladder neck during coughing were evaluated with perineal ultrasound examination. The measurements were performed before and 3 months after colposuspension. After colposuspension we found a significant elevation of the PTR (P = 0.001), a significantly higher intra-abdominal position (P = 0.001) and decreased mobility (P = 0.001) of the bladder neck during coughing. Also, a negative correlation between the elevation of PTR and decreased mobility of the bladder neck during coughing (r=−0.5049; P = 0.006) and a weak correlation between the elevation of PTR and a higher intra-abdominal position of the bladder neck during coughing were found (r= 0.3828; P = 0.044). Reinforced tension resistance of the bladder neck supporting structures seems to be more important than intra-abdominal position of the bladder neck in achieving effective pressure transmission after colposuspension. Springer-Verlag London Limited, 2000 Key words:Bladder neck position - Bladder neck supporting structures - Colposuspension - Pressure transmission ratio nationallicence Barbič M. University Medical Centre, Ljubljana, Slovenia, SI aut Kralj B. University Medical Centre, Ljubljana, Slovenia, SI aut https://doi.org/10.1007/s001920050078 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s001920050078 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Barbič M. University Medical Centre, Ljubljana, Slovenia, SI aut NATIONALLICENCE 700 1- Kralj B. University Medical Centre, Ljubljana, Slovenia, SI aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer