DIAGNOSTIC POSSIBILITIES OF STATIC MRI IN THE EVALUATION OF THE SHAPE OF THE PARAURETHRAL LIGAMENTOUS APPARATUS IN WOMEN BEFORE THE PLANNED SURGERY FOR CYSTOCELE AND STRESS URINARY INCONTINENCE

• Main Author: Nechiporenko A. S.
• Format: Article
• Language: Belarusian
• Published: Grodno State Medical University 2020-12-01
• Series: Žurnal Grodnenskogo Gosudarstvennogo Medicinskogo Universiteta
• Subjects: magnetic resonance imaging; cystocele; urinary disorders; ligaments
• ISSN: 2221-8785; 2413-0109

Background. Damages to the ligamentous apparatus of the urethra are the most significant causes of the development of urinary disorders in women with cystocele.Aim. To determine the diagnostic capabilities of static MRI in assessing the state of the paraurethral ligamentous apparatus in women.Material and methods. The condition of the ligaments forming the supporting urethral system was assessed according to the results of static MRI performed in 73 patients.Results. Assessment of the condition of the ligamentous apparatus of the urethra according to the results of MRI shows that any type of failure of the paraurethral and periurethral ligaments of the urethra, ensuring its physiological position, is accompanied by stress urinary incontinence. There is no significant difference in the frequency of differentiation disorders of the paraurethral, periurethral and pubic-urethral ligaments in all patients with difficulty urinating, which indicates more severe anatomical disorders.Conclusions. The ligamentous apparatus of the urethra must be considered as a single complex system due to the complex damage to the ligaments of the urethra. MRI data on the condition of the urethral ligaments are documentary evidence and justification for the need for surgical treatment.