Biomedical subjects
Publications and source records attributed to K Ostrzenska.
A patent urachal sinus, as well as other congenital urachal anomalies, may be at risk of injury during laparoscopy. Leakage of fluid at the midline site of trocar entry is the usual postoperative sign of injury to a patent urachal sinus. Pre-operative diagnosis of this anomaly can prevent injury during laparoscopy. We describe a contrast ultrasound technique for diagnosis of patent urachal sinus.
Thirty women with pelvic relaxation and genuine stress urinary incontinence were evaluated with a contrast ultrasonography technique developed for the diagnosis of paravaginal defects. Control subjects were continent women with vaginal prolapse and nulliparous asymptomatic women. Seventeen incontinent patients had unilateral right-sided paravaginal defects and 13 had bilateral paravaginal defects. All continent controls with vaginal prolapse had bilateral paravaginal defects. None of the nulliparous controls had paravaginal defects. The contrast ultrasonographic technique also was found to be useful for postoperative evaluation and documentation of the anatomic results achieved after laparoscopic paravaginal repair.