{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:13:29Z","timestamp":1760177609162,"version":"build-2065373602"},"reference-count":34,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2020,7,28]],"date-time":"2020-07-28T00:00:00Z","timestamp":1595894400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>The data concerning epidemiological determinants of the bladder neck (BN) mobility are scarce. The aim of the study was to determine epidemiological features and identify factors influencing BN position at rest and BN mobility in patients without pelvic organ prolapse (POP). Seven hundred and ninety-six patients that attended two outpatient clinics were enrolled in the study. Position and mobility of the BN were measured with the use of pelvic floor ultrasound. Demographic and functional factors that were hypothesized to influence BN mobility were assessed. Vaginal deliveries (VDs) and age \u226565 were associated with lower BN position at rest. Higher BN mobility was observed in women with stress urinary incontinence (SUI). In obese women, higher BN position and lower BN mobility was observed compared to non-obese women, and it was correlated with longer urethras in this group of patients. VDs and their number were associated with increased BN mobility, independently of body mass index (BMI). To conclude, obesity, VDs, and age are factors associated with changes in bladder neck position at rest and its mobility. Higher BMI correlates with restricted BN mobility, and, therefore, the incidence of SUI in obese patients is probably not connected to BN hypermobility.<\/jats:p>","DOI":"10.3390\/jcm9082413","type":"journal-article","created":{"date-parts":[[2020,7,30]],"date-time":"2020-07-30T03:36:38Z","timestamp":1596080198000},"page":"2413","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Epidemiological Features of the Bladder Neck Rest Position and Mobility"],"prefix":"10.3390","volume":"9","author":[{"given":"Edyta","family":"Horosz","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Multidisciplinary Hospital Warsaw-Miedzylesie, 04-749 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrzej","family":"Pomian","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Multidisciplinary Hospital Warsaw-Miedzylesie, 04-749 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aneta","family":"Zwierzchowska","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Multidisciplinary Hospital Warsaw-Miedzylesie, 04-749 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3020-3979","authenticated-orcid":false,"given":"Wojciech","family":"Lisik","sequence":"additional","affiliation":[{"name":"Department of General and Transplantation Surgery, Medical University of Warsaw, 00-001 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wojciech","family":"Majkusiak","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Multidisciplinary Hospital Warsaw-Miedzylesie, 04-749 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pawe\u0142","family":"Tomasik","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Multidisciplinary Hospital Warsaw-Miedzylesie, 04-749 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beata","family":"Rutkowska","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Multidisciplinary Hospital Warsaw-Miedzylesie, 04-749 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joana","family":"Skalska","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Multidisciplinary Hospital Warsaw-Miedzylesie, 04-749 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ma\u0142gorzata","family":"Siemion","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Multidisciplinary Hospital Warsaw-Miedzylesie, 04-749 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominika","family":"Banasiuk","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Multidisciplinary Hospital Warsaw-Miedzylesie, 04-749 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1289-9442","authenticated-orcid":false,"given":"Ewa","family":"Barcz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Multidisciplinary Hospital Warsaw-Miedzylesie, 04-749 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,7,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1751","DOI":"10.1002\/nau.23509","article-title":"Demographic features of female urethra length","volume":"37","author":"Pomian","year":"2018","journal-title":"Neurourol. Urodyn."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1159\/000407971","article-title":"Aspects on the anatomy of the female urethra with special relation to urinary continence","volume":"10","author":"Huisman","year":"1983","journal-title":"Contrib. Gynecol. Obstet."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1196\/annals.1389.034","article-title":"Functional anatomy of the female pelvic floor","volume":"1101","author":"DeLancey","year":"2007","journal-title":"Ann. N. Y. Acad. Sci."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1002\/uog.7658","article-title":"Urethral mobility and urinary incontinence","volume":"36","author":"Pirpiris","year":"2010","journal-title":"Ultrasound Obstet. Gynecol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2286","DOI":"10.1016\/j.juro.2008.01.098","article-title":"Stress urinary incontinence: Relative importance of urethral support and urethral closure pressure","volume":"179","author":"DeLancey","year":"2008","journal-title":"J. Urol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1186\/2047-783X-15-6-246","article-title":"Incontinence, bladder neck mobility, and sphincter ruptures in primiparous women","volume":"15","author":"Jundt","year":"2010","journal-title":"Eur. J. Med. Res."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1713","DOI":"10.1016\/S0002-9378(12)91840-2","article-title":"Structural support of the urethra as it relates to stress urinary incontinence: The hammock hypothesis","volume":"170","author":"DeLancey","year":"1994","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1111\/j.1600-0412.1990.tb08027.x","article-title":"An integral theory of female urinary incontinence. Experimental and clinical considerations","volume":"153","author":"Petros","year":"1990","journal-title":"Acta Obstet. Gynecol. Scand. Suppl."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1002\/nau.23123","article-title":"Is bladder Neck and urethral mobility associated with urinary incontinence and mode of delivery 4 years after childbirth?","volume":"36","author":"Sultan","year":"2017","journal-title":"Neurourol. Urodyn."},{"key":"ref_10","first-page":"807","article-title":"The Q-tip test: Standardization of the technique and its interpretation in women with urinary incontinence","volume":"71","author":"Karram","year":"1988","journal-title":"Obstet. Gynecol."},{"key":"ref_11","first-page":"255","article-title":"Stress Urinary Incontinence","volume":"47","author":"McGuire","year":"1976","journal-title":"Obstet. Gynecol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/BF02335084","article-title":"Influence of catheterisation on the results of sonographic urethrocystography in patients with genuine stress incontinence","volume":"255","author":"Hanzal","year":"1994","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1111\/j.1471-0528.1995.tb09025.x","article-title":"Vaginal ultrasound studies of bladder neck mobility","volume":"102","author":"Hol","year":"1995","journal-title":"Br. J. Obstet. Gynaecol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1111\/j.1471-0528.2002.01163.x","article-title":"Perineal ultrasound evaluation of urethral angle and bladder neck mobility in women with stress urinary incontinence","volume":"109","author":"Pregazzi","year":"2002","journal-title":"BJOG"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1007\/s00192-017-3540-z","article-title":"A review of the impact of pregnancy and childbirth on pelvic floor function as assessed by objective measurement techniques","volume":"29","author":"Ostergard","year":"2018","journal-title":"Int. Urogynecol. J."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1007\/s00192-015-2916-1","article-title":"What is normal bladder Neck anatomy?","volume":"27","author":"Shek","year":"2016","journal-title":"Int. Urogynecol. J."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1007\/s00192-012-1795-y","article-title":"The effect of pregnancy on hiatal dimensions and urethral mobility: An observational study","volume":"23","author":"Shek","year":"2012","journal-title":"Int. Urogynecol. J."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1111\/j.1479-828X.2004.00301.x","article-title":"Does pregnancy affect pelvic organ mobility?","volume":"44","author":"Dietz","year":"2004","journal-title":"Aust. N. Z. J. Obstet. Gynaecol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1046\/j.1471-0528.2003.00043.x-i1","article-title":"Prevalence of bladder Neck mobility in asymptomatic non-pregnant nulliparous volunteers","volume":"111","author":"Reed","year":"2004","journal-title":"BJOG"},{"key":"ref_20","first-page":"320","article-title":"Bladder neck mobility in continent nulliparous women","volume":"108","author":"Peschers","year":"2001","journal-title":"BJOG"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1055\/s-0034-1383044","article-title":"Interdisciplinary S2k guideline: Sonography in urogynecology: Short Version\u2014AWMF registry number: 015\/055","volume":"74","author":"Tunn","year":"2014","journal-title":"Geburtshilfe Frauenheilkd."},{"key":"ref_22","first-page":"25","article-title":"Urethral length measurement in women during sonographic urethrocystography\u2014An analysis of repeatability and reproducibility","volume":"16","author":"Wlazlak","year":"2016","journal-title":"J. Ultrason."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1007\/s00192-008-0765-x","article-title":"Prevalence and degree of bother from pelvic floor disorders in obese women","volume":"20","author":"Whitcomb","year":"2009","journal-title":"Int. Urogynecol. J. Pelvic Floor Dysfunct."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"e263","DOI":"10.1016\/j.clgc.2017.10.006","article-title":"Female Urethra Adenocarcinoma","volume":"16","author":"Galosi","year":"2018","journal-title":"Clin. Genitourin. Cancer"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Martino, P., and Galosi, A.B. (2017). Ultrasound Study of the Urethra. Atlas of Ultrasonography in Urology, Andrology, and Nephrolog, Springer International Publishing.","DOI":"10.1007\/978-3-319-40782-1"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.ajog.2004.01.025","article-title":"Pelvic organ descent in young nulligravid women","volume":"191","author":"Dietz","year":"2004","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1111\/j.1471-0528.2004.00428.x","article-title":"Bladder neck mobility is a heritable trait","volume":"112","author":"Dietz","year":"2005","journal-title":"BJOG"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1097\/AOG.0b013e31829efbff","article-title":"Risk factors for urinary, fecal, or dual incontinence in the Nurses\u2019 Health Study","volume":"122","author":"Matthews","year":"2013","journal-title":"Obstet. Gynecol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"900","DOI":"10.1056\/NEJMoa021788","article-title":"Norwegian EPINCONT Study. Urinary incontinence after vaginal delivery or cesarean section","volume":"348","author":"Rortveit","year":"2003","journal-title":"N. Engl. J. Med."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1007\/s00192-007-0455-0","article-title":"The effect of mode of delivery on pelvic floor functional anatomy","volume":"19","author":"Balmforth","year":"2008","journal-title":"Int. Urogynecol. J. Pelvic Floor Dysfunct."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1097\/00006250-200308000-00005","article-title":"The effect of childbirth on pelvic organ mobility","volume":"102","author":"Dietz","year":"2003","journal-title":"Obstet. Gynecol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1097\/gme.0b013e31816054ac","article-title":"The prevalence of and potential risk factors for female urinary incontinence in Beijing, China","volume":"15","author":"Zhu","year":"2008","journal-title":"Menopause"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1097\/01.AOG.0000270121.15510.57","article-title":"Body mass index, weight gain, and incident urinary incontinence in middle-aged women","volume":"110","author":"Townsend","year":"2007","journal-title":"Obstet. Gynecol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1002\/nau.22428","article-title":"The relationship between BMI and urinary incontinence subgroups: Results from EpiLUTS","volume":"33","author":"Khullar","year":"2014","journal-title":"Neurourol. Urodyn."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/9\/8\/2413\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T09:52:18Z","timestamp":1760176338000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/9\/8\/2413"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,28]]},"references-count":34,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2020,8]]}},"alternative-id":["jcm9082413"],"URL":"https:\/\/doi.org\/10.3390\/jcm9082413","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2020,7,28]]}}}