{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T08:26:18Z","timestamp":1771921578525,"version":"3.50.1"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the elastography score (ES) and strain ratio (SR) values in transperineal elastography according to the presence of stress urinary incontinence (SUI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>This retrospective descriptive study included 72 women who underwent transperineal ultrasonographic evaluations of pelvic floor function between January 2020 and April 2022. The study group consisted of 32 women with SUI, and the control group included 40 continent women. Elastography assessments were performed by a single experienced gynecologist using strain elastography focused on the puborectalis portion of the levator ani muscle. The ES was graded on a four-point scale (1\u202f=\u202fsoft, 4\u202f=\u202fhard), and SR values were calculated automatically as the ratio of reference soft tissue to levator ani muscle strain (SR\u202f=\u202fB\/A).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The number of vaginal deliveries was significantly higher in the SUI group (2.4\u202f\u00b1\u202f1.3 vs. 1.3\u202f\u00b1\u202f0.9,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.001). ES values were significantly lower in the SUI group compared with the controls at rest (ES: 1.9\u202f\u00b1\u202f0.8 vs. 2.5\u202f\u00b1\u202f0.8,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.002). SR values were significantly lower in the SUI group compared with the controls at rest (SR: 1.72\u202f\u00b1\u202f0.43 vs. 2.15\u202f\u00b1\u202f0.47,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.001). ES values were significantly lower in the SUI group compared with the controls during the Valsalva maneuver (ES: 2.6\u202f\u00b1\u202f0.6 vs. 3.2\u202f\u00b1\u202f0.5,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.001). SR values were significantly lower in the SUI group compared with the controls during the Valsalva maneuver (SR: 2.94\u202f\u00b1\u202f0.53 vs. 3.79\u202f\u00b1\u202f0.61,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Transperineal elastography demonstrated a significant reduction in levator ani muscle elasticity in women with SUI. These findings suggest that SUI is an anatomic disorder that involves biomechanical dysfunction of pelvic floor tissues. Transperineal elastography may serve as a noninvasive, reproducible, and objective tool for evaluating pelvic floor muscle function and monitoring treatment outcomes in clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1753479","type":"journal-article","created":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T06:46:47Z","timestamp":1771915607000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of elastography score and strain ratio values according to the presence of stress urinary incontinence in transperineal elastography"],"prefix":"10.3389","volume":"13","author":[{"given":"Can","family":"Ata","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Buca Seyfi Demirsoy Training and Research Hospital, Izmir Demokrasi University","place":["Izmir, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ufuk","family":"Atlihan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Izmir Demokrasi University","place":["Izmir, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tevfik Berk","family":"Bildaci","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Buca Seyfi Demirsoy Training and Research Hospital, Izmir Demokrasi University","place":["Izmir, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet Emre","family":"Peker","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Merkezefendi Hospital","place":["Manisa, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Ozer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Health Sciences Erzurum State Hospital","place":["Erzurum, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sercan","family":"Kantarci","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Tepecik Training and Research Hospital, University of Health Sciences","place":["Izmir, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suna Yildirim","family":"Karaca","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Cigli Training and Research Hospital, Bakircay University","place":["Izmir, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alper","family":"Ileri","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Tepecik Training and Research Hospital, University of Health Sciences","place":["Izmir, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"51","DOI":"10.21613\/GORM.2018.911","article-title":"The effect of incontinence severity on symptom distress, quality of life, and pelvic floor muscle function in Turkish women with urinary incontinence","volume":"26","author":"Orhan","year":"2020","journal-title":"Gynecol Obstet Reprod Med"},{"key":"ref2","first-page":"1","article-title":"Epidemiology of urinary incontinence (UI) and other lower urinary tract symptoms (LUTS), pelvic organ prolapse (POP) and anal incontinence (AI)","volume-title":"Incontinence: 6th International Consultation on Incontinence","author":"Altman","year":"2017"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"154","DOI":"10.21613\/GORM.2020.1099","article-title":"Psychometric properties of the Turkish version of prolapse and incontinence 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incontinence","volume-title":"Ultrasound Obstet Gynecol","author":"Cs\u00e1k\u00e1ny","year":"2024"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1753479\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T06:46:49Z","timestamp":1771915609000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1753479\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,24]]},"references-count":31,"alternative-id":["10.3389\/fmed.2026.1753479"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2026.1753479","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,24]]},"article-number":"1753479"}}