An Examination of the Correlation Between Urethral Hypermobility and Point Aa in Women with Stress Urinary Incontinence
[eng] Urethral mobility is a key factor in planning and executing surgical interventions for women with stress urinary incontinence. It helps surgeons assess the anatomy and function of the lower urinary tract, guiding the selection and adjustment of procedures to restore continenc...
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Universidad de las Islas Baleares |
| Repositorio: | Biblioteca Digital de les Illes Balears |
| OAI Identifier: | medicinaBalear:AJHS_Medicina_Balear_2025v40n3p077 |
| Acceso en línea: | http://ibdigital.uib.es/greenstone/sites/oai-site/collect/medicinaBalear/index/assoc/AJHS_Med/icina_Ba/lear_202/5v40n3p0/77.dir/AJHS_Medicina_Balear_2025v40n3p077.pdf http://ibdigital.uib.es/greenstone/library/collection/medicinaBalear/document/AJHS_Medicina_Balear_2025v40n3p077 |
| Access Level: | acceso abierto |
| Palabra clave: | Urinary incontinence Medicine Health Sciences |
| Sumario: | [eng] Urethral mobility is a key factor in planning and executing surgical interventions for women with stress urinary incontinence. It helps surgeons assess the anatomy and function of the lower urinary tract, guiding the selection and adjustment of procedures to restore continence effectively. Objective: We aimed to determine if point Aa in the pelvic organ prolapse quantification system could replace visual urethral mobility examination in confirming urethral hypermobility in women with stress urinary incontinence. Methods: In a retrospective cohort study, we compare visual urethral mobility and Aa measurements in 131 women with predominant stress urinary incontinence. The Aa point corresponds to the urethrocervical crease and is located 3 cm deep to the urethral meatus in the anterior vagina's midline. Results: Among 131 patients, 67.2% had hypermobility, 22.1% had positive cough tests, and 12.2% had stage 1 Aa points. Additionally, 64.1% had stage 2 Aa points, and 23.7% had stage 3 Aa points. The Aa stage had a significant relation with age (P<0.001), menopause (P<0.001), hypermobility (P<0.001), and leak with cough in the urodynamic test (P=0.008). Moreover, the Aa stage has been found to possess high sensitivity and specificity and can be used as an alternative to visual hypermobility, particularly in stages 2 and 3 of prolapse. Conclusions: This study found a significant relationship between hypermobility in the visual hypermobility and Aa point. The Aa stage has been found to possess high sensitivity and specificity and can be used as an alternative to visual hypermobility, particularly in stages 2 and 3 of prolapse. |
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