{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T07:53:11Z","timestamp":1781077991698,"version":"3.54.1"},"reference-count":24,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gynecol Obstet Invest"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Aim:&lt;\/i&gt;&lt;\/b&gt; The aim of this study was to evaluate midurethral tissue characteristics in continent and stress urinary incontinent postmenopausal women by using transvaginal ultrasound gray-level histogram. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; Thirty-seven patients with stress urinary incontinence (SUI) and 77 patients without SUI were evaluated. Vaginal ultrasound gray-level histograms were performed by 2 gynecologists blinded to patients' SUI statuses. The mean gray-level (MGL) of ultrasound gray-level histogram, representing the echogenicity of a region of interest, was measured in the anterior and posterior midurethral wall along a vertical ultrasound beam. The difference in MGL between anterior and posterior (AP difference) midurethra was calculated. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; The MGL value of SUI patients was found to be lower in posterior (p = 0.008) and higher in anterior midurethral region (p = 0.001) when compared with control group. In addition, the difference in MGL between anterior and posterior midurethra (AP difference) was found to be higher in SUI group (p &lt; 0.001). Multivariate analysis by logistic regression including confounding factors revealed that AP difference was independently associated with presence of SUI (adjusted OR 1.14, 95% CI 1.08-1.20, p &lt; 0.001). Intra- and inter-observer reproducibility was found to be high with intraclass correlation coefficient of 0.83 and 0.78, respectively. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; Postmenopausal SUI patients might have a distinct midurethral echogenicity pattern with the quantitative ultrasonography.<\/jats:p>","DOI":"10.1159\/000445748","type":"journal-article","created":{"date-parts":[[2016,4,8]],"date-time":"2016-04-08T11:33:30Z","timestamp":1460115210000},"page":"256-261","source":"Crossref","is-referenced-by-count":3,"title":["Quantitative Sonographic Differences in Mid-Urethra between Postmenopausal Women with and without Stress Urinary Incontinence"],"prefix":"10.1159","volume":"81","author":[{"given":"Safak","family":"Olgan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozge Piri","family":"Mantar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Recep Emre","family":"Okyay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bulent","family":"Gulekli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2016,4,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/PL00004033"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/00001703-199910000-00017"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.11.027"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2007.09.010"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2003.00019.x"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2002.01052.x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dem039"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3892\/etm.2014.1563"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.acthis.2006.07.001"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.02.015"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2002.01163.x"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/00005392-200101000-00036"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1072"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2004.00557.x"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1602-1"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(95)00106-2"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(99)00314-2"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.14.5.7991816"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.2000.00046.x"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-013-2769-8"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.09.027"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjog.2011.01.016"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1515\/JPM.2010.079"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1999.tb08372.x"}],"container-title":["Gynecologic and Obstetric Investigation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/445748","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/445748","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/445748","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:01:16Z","timestamp":1745431276000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000445748"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":24,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2016,5,28]]},"published-print":{"date-parts":[[2016,5,12]]}},"URL":"https:\/\/doi.org\/10.1159\/000445748","archive":["Portico"],"relation":{},"ISSN":["0378-7346","1423-002X"],"issn-type":[{"value":"0378-7346","type":"print"},{"value":"1423-002X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016]]}}}