Analysis of the anatomical and biomechanical characteristics of the pelvic floor in cystocele

• DOI: 10.1111/aogs.14657
• Publication Date: 2023-08-26T08:08:56Z
• Authors: Chuqiao Song; Wei Wen; Lei Pan; Jiaqian Sun; Yun Bai; Jinhua Tang; Chen Zhong; Bangmin Han; Shujie Xia; Yiping Zhu
• Keywords: Levator ani; Pelvic Floor Muscle; Biomechanics

Abstract Introduction Stress urinary incontinence (SUI) occurs due to disruption of the pelvic floor anatomy; however, complexity support structures and individual patient differences make it difficult identify weak points in that cause SUI occur, develop, recur. This study aimed analyze anatomy, structural features, biomechanics cystoceles develop more effective treatment plans with individualized precise healthcare. Material methods In this observational case‐controlled (clinical trial identifier BOJI201855L), 102 women normal function 273 patients diagnosed cystocele degrees I–III were identified at Shanghai General Hospital from October 2016 December 2019. We combined ultrasound vaginal tactile imaging (VTI) assess anatomy biomechanical functions anterior posterior walls. Both examinations included relaxation muscle tension tests. Results Of 42 VTI parameters, 13 associated degree cystocele, six an increase urethral rotation angle (pointing mobility urethra), a decrease retrovesical hypsokinesis bladder position). According these data, strength tissues, especially muscles both compartments, contributes stability structure. The levator ani (LAM) is important for urethra, hypsokinesis, position. Conclusions general, status complex involves various muscles, ligaments, tendons, fascia. these, repair exercise LAM have not received much attention cystoceles, which may be risk factor high recurrence rate.