Evidence map›Paper›PMID 34528775›Full record

Observational studyInternational braz j urol : official journal of the Brazilian Society of Urology

The role of transperineal ultrasound in the evaluation of stress urinary incontinence cases.

Alper Turkoglu, Ayse Deniz Erturk Coskun, Sevcan Arzu Arinkan, Fisun Vural

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  7. A Multimodal Ultrasound Approach Combining Transperineal and Transrectal Shear Wave Elastography for Early Prediction of Stress Urinary Incontinence in Women.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
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  19. Radical cystectomy highlighted in International Brazilian Journal of Urology.International braz j urol : official journal of the Brazilian Society of Urology
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  20. Re: The role of transperineal ultrasound in the evaluation of stress urinary incontinence.International braz j urol : official journal of the Brazilian Society of Urology
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Alper TurkogluDepartment of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turke.
Ayse Deniz Erturk CoskunDepartment of Obstetrics and Gynecology, University of Health Sciences, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
Sevcan Arzu ArinkanDepartment of Obstetrics and Gynecology, University of Health Sciences, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
Fisun VuralDepartment of Obstetrics and Gynecology, University of Health Sciences, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
Izmir University · TRIstanbul Metropolitan Municipality · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the use of transperineal ultrasonography while diagnosing stress urinary incontinence (SUI) by comparing the urethral angle (α), posterior urethrovesical angle (β), and bladder neck descent (BND) during rest and Valsalva maneuver in continent women and women with SUI. MATERIALS AND

methodsThis prospective observational study was conducted with 50 women with SUI and 50 continent women. Transperineal ultrasonography was performed at rest and during Valsalva maneuver. Q-tip test was performed.

resultsDuring the Valsalva maneuver, both α and β angles were significantly higher in women with SUI (p < 0.001). The difference between Valsalva and rest measurements of α and β angles (R α, R β) were also significantly higher in women with SUI (p < 0.001). The cut-off point determined for the R α in the diagnosis of stress incontinence was 16° (80% sensitivity, 98% specificity). A statistically significant strong correlation was found between Q-tip test angle and R α value (p=0.000; r=0.890). Q-tip VAS pain scores were significantly higher than ultrasonography VAS pain scores (p < 0.001). In relation to the bladder neck descent comparison between the two groups showed that BND was significantly higher in SUI group (p < 0.001). The cut-off point determined for BND in the diagnosis of SUI was >11mm (90% sensitivity, 98% specificity).

conclusionTransperineal ultrasonography is a practical, reliable, non-invasive and comfortable method for evaluation of SUI. It has the advantage of dynamic evaluation during the Valsalva maneuver. Rotation angles and BND have high sensitivity and specificity for detection of SUI. The change in α angle with Valsalva (Rα) can be used as an alternative to Q-tip test.

Indexed as

Urinary Incontinence, StressBandagesFemaleHumansMaleProspective StudiesUltrasonographyUrethraUltrasonographyUrinary Bladder Neck ObstructionUrinary Incontinence, Stress

Identifiers

PMID34528775
PMCPMC8691236
OpenAlexW3200827198

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.