{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:52:44Z","timestamp":1790704364837,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T00:00:00Z","timestamp":1602201600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The accurate, rapid diagnosis of stress urinary incontinence (SUI) in women can profoundly improve their sexual and psychosocial life. In this study, the diagnostic power of SUI was assessed by transperineal ultrasound.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this hospital\u2010based case\u2010control study, married women who were referred to the gynecologic and ultrasound wards with negative urinalysis and culture results were enrolled by random sampling. Patients with positive cough signs based on the urodynamic testing data were considered cases, whereas control women showed no cough symptoms and were recruited from the same ward.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a significant difference (<jats:italic>P<\/jats:italic> &lt; .001) in bladder neck descent (mean \u00b1 SD, 10.89 \u00b1\u20095.51 versus 7.08 \u00b1\u20092.60\u2009mm, respectively; P = .0001) and the retrovesical (\u03b2) angle with the Valsalva maneuver (144.22\u00b0 \u00b1\u200919.63\u00b0 versus 111.81\u00b0 \u00b1\u200924.47\u00b0; <jats:italic>P<\/jats:italic> &lt; .001) between the case and control groups. Also, the \u03b2 angle without the Valsalva maneuver was higher in the case group (112.35\u00b0 \u00b1\u200923.10\u00b0) than the control group (120.17\u00b0 \u00b1\u200925.16\u00b0; <jats:italic>P<\/jats:italic> = .001). There was no case of a urinary leak, urethral diverticulitis, a bladder stone or mass, and cystourethrocele in the patients of each group. The results of multivariate logistic regression with a backward method showed that bladder neck descent (odds ratio [OR], 1.24; 95% confidence interval [CI], 1.09\u20131.40), the \u03b2 angles with and without the Valsalva maneuver (OR, 1.1; 95% CI, 1.06\u20131.13; and OR, 1.04; 95% CI, 1.01\u20131.06) were the predictors of SUI. A \u03b2 angle higher than 127\u00b0 with the Valsalva maneuver, with an area under the curve of 0.89 (95% CI, 0.75\u20130.96), could very well predict the SUI response. This finding shows that it can be very well used to distinguish between normal and non\u2010normal responses, with 89% sensitivity and 79% specificity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The \u03b2 angle with the Valsalva maneuver could very well predict the SUI response.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.15526","type":"journal-article","created":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T18:30:39Z","timestamp":1602268239000},"page":"1485-1493","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Prediction of Stress Urinary Incontinence Using the Retrovesical (\u03b2) Angle in Transperineal Ultrasound"],"prefix":"10.1002","volume":"40","author":[{"given":"Elham","family":"Keshavarz","sequence":"first","affiliation":[{"name":"Clinical Research Development Center Mahdiyeh Hospital, Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ensi Khalili","family":"Pouya","sequence":"additional","affiliation":[{"name":"Department of Radiology Mahdiyeh Hospital, Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Rahimi","sequence":"additional","affiliation":[{"name":"Department of Radiology Mahdiyeh Hospital, Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tayebeh Jahed","family":"Bozorgan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Mahdiyeh Hospital, Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masoumeh","family":"Saleh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Mahdiyeh Hospital, Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra Mehdizadeh","family":"Tourzani","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health Alborz University of Medical Sciences  Karaj Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kourosh","family":"Kabir","sequence":"additional","affiliation":[{"name":"Department of Community Medicine Alborz University of Medical Sciences  Karaj Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6771-269X","authenticated-orcid":false,"given":"Mahmood","family":"Bakhtiyari","sequence":"additional","affiliation":[{"name":"Department of Community Medicine Alborz University of Medical Sciences  Karaj Iran"},{"name":"Noncommunicable Diseases Research Center Alborz University of Medical Sciences  Karaj Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-011-0206-0"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)00039-X"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-1591.70566"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2016.01.090"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.5604\/12321966.1167723"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2009.06.004"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181bb531a"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2018.1543263"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-011-0215-z"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.06.020"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2888-1"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2016.01.037"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.5317\/wjog.v2.i4.74"},{"key":"e_1_2_6_15_1","doi-asserted-by":"crossref","unstructured":"AbramsP AnderssonK BirderL BrubakerL CardozoL ChappleC WyndaeleJ.Fourth international consultation on incontinence recommendations of the international scientific committee: Evaluation and treatment of urinary incontinence pelvic organ prolapse and fecal incontinence. 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