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Examination of pelvic floor muscle elasticity in patients with interstitial cystitis/bladder pain syndrome using real-time tissue elastography
Title: | Examination of pelvic floor muscle elasticity in patients with interstitial cystitis/bladder pain syndrome using real-time tissue elastography |
Authors: | Abe-Takahashi, Yui Browse this author | Kitta, Takeya Browse this author →KAKEN DB | Ouchi, Mifuka Browse this author →KAKEN DB | Chiba, Hiroki Browse this author | Higuchi, Madoka Browse this author | Togo, Mio Browse this author | Shinohara, Nobuo Browse this author →KAKEN DB |
Keywords: | Elasticity | Strain ratio interstitial cystitis | bladder pain syndrome | Pelvic floor muscles | Real-time tissue elastography |
Issue Date: | 1-Mar-2022 |
Publisher: | Springer |
Journal Title: | International urogynecology journal |
Volume: | 33 |
Issue: | 3 |
Start Page: | 619 |
End Page: | 626 |
Publisher DOI: | 10.1007/s00192-021-04761-7 |
Abstract: | Introduction and hypothesis The aim was to compare pelvic floor muscle (PFM) elasticity between interstitial cystitis/bladder pain syndrome (IC/BPS) patients and healthy women using real-time tissue elastography. Methods The subjects were 17 IC/BPS female patients (IC/BPS group; age 34-84 years), 10 healthy middle-aged women (middle-aged group; 50-80 years), and 17 healthy young adult women (young group; 23-37 years). The target sites of elastography were the striated urethral sphincter (SUS) and adipose tissue as the reference site; muscle elasticity was calculated as the strain ratio (SR) of the SUS to the reference site. Evaluations were performed at rest and during PFM contraction. The IC/BPS group completed lower urinary tract symptom and pain questionnaires. SUS SR was compared among the three groups. SUS SR at rest and during PFM contraction was compared among the three groups with the t-test and the Wilcoxon test. Associations between questionnaire results and SUS SR were evaluated by correlation analysis. Results There was no significant difference in age between the IC/BPS and middle-aged groups, but the young group was significantly younger than the other groups (p < 0.001). SUS SR at rest was significantly higher in the IC/BPS group than in the middle-aged (p = 0.014) and young groups (p = 0.002). Furthermore, in the IC/BPS group, there was no significant difference in SUS SR between at rest and during PFM contraction. SUS SR was not significantly correlated with questionnaire results for lower urinary tract symptoms. Conclusions SUS SR at rest was significantly higher in the IC/BPS group than in the young and middle-aged groups. |
Rights: | This is a post-peer-review, pre-copyedit version of an article published in International Urogynecology Journal. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00192-021-04761-7 |
Type: | article (author version) |
URI: | http://hdl.handle.net/2115/84479 |
Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 橘田 岳也
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