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Published in: International Urogynecology Journal 8/2012

01-08-2012 | Original Article

Intraobserver and interobserver reliability of the three-dimensional ultrasound imaging of female urethral sphincter using a translabial technique

Authors: G. Alessandro Digesu, Nishee Calandrini, Alexandros Derpapas, Pasquale Gallo, Shahla Ahmed, Vik Khullar

Published in: International Urogynecology Journal | Issue 8/2012

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Abstract

Introduction and hypothesis

The aim of the study was to assess the interobserver and intraobserver reliability of translabial 3D ultrasound imaging of the urethral sphincter in non-pregnant nulliparous asymptomatic women.

Methods

A study using a 3D translabial ultrasound on thirty-seven women was performed. Urethral sphincter parameters were measured by the same experienced clinician 2 weeks apart. Multiple axial cross-sectional areas at 1-mm distances were used to calculate urethral sphincter volumes. The same measurements were carried out by a second experienced clinician to assess the interobserver reliability.

Results

We found an excellent intraobserver reliability (interclass correlation coefficient, ICC >0.8) and good interobserver reliability (ICC >0.6).

Conclusion

The described technique using multiple axial cross-sectional areas at set distances and a translabial approach is a reliable and accurate tool in the evaluation of the urethral sphincter. This should be used instead of mathematical formulas as the urethral sphincter is not a uniform geometrical sphere. The technique and values reported may help clinicians in the assessment of women with lower urinary tract disorders.
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Metadata
Title
Intraobserver and interobserver reliability of the three-dimensional ultrasound imaging of female urethral sphincter using a translabial technique
Authors
G. Alessandro Digesu
Nishee Calandrini
Alexandros Derpapas
Pasquale Gallo
Shahla Ahmed
Vik Khullar
Publication date
01-08-2012
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 8/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-012-1669-3

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