Can MRI Predict Which Patients Are Most Likely to Benefit from Percutaneous Positioning of Volume-Adjustable Balloon Devices?

Vol. 76, No. 3, 2006

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Original Paper

Can MRI Predict Which Patients Are Most Likely to Benefit from Percutaneous Positioning of Volume-Adjustable Balloon Devices?
Alessandro Stecco^a, Antonio Saponaro^a, Simone Crivellaro^b, Antonio Raffaele Cotroneo^a, Bruno Frea^b, Alessandro Carriero^a, Ervin Kocjancic^b

^aIstituto di Radiologia Diagnostica ed Interventistica e
^bClinica Urologica, Ospedale 'Maggiore della Carità', Novara, Italia

Address of Corresponding Author

Urol Int 2006;76:240-246 (DOI: 10.1159/000091627)

Key Words

Stress urinary incontinence
Magnetic resonance imaging
Incontinence therapy

Abstract

Purpose: To assess whether magnetic resonance imaging (MRI) is useful in predicting which patients affected by stress urinary incontinence (SUI) will benefit from a new anti-incontinence therapy named adjustable continence therapy (ACT). Methods: We prospectively evaluated a group of 25 female patients affected by SUI and treated with ACT. Before and after treatment all patients were clinically assessed by physical examination, urodynamic evaluation and pad test. All patients had an MR examination before and 3 and 12 months after ACT surgery to compare the position of the bladder neck in relation to the pubococcygeal line (PCL). Results: 21/25 (84%) patients were improved; 16 (64%) of these patients were dry and 5 (20%) significantly improved. Before treatment, the mean PCL distance was significantly different (p < 0.01) between the responsive and the non-responsive groups. Conclusions: MRI provides an effective radiological method to predict the efficacy of the ACT.

Author Contacts

Dr. Ervin Kocjancic
Clinica Urologica, Ospedale 'Maggiore della Carità'
Corso Mazzini 18
IT-28100 Novara (Italy)
Tel. +39 321 373 3417, Fax +39 321 373 3763, E-Mail e.koc@tiscali.it

Article Information

Received: August 5, 2005
Accepted: November 2, 2005
Number of Print Pages : 7
Number of Figures : 4, Number of Tables : 3, Number of References : 8

Medline Abstract (ID 16601387)

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