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Application of shear-wave elastography to estimate the stiffness of the male striated urethral sphincter during voluntary contractions.

Identifieur interne : 001188 ( PubMed/Checkpoint ); précédent : 001187; suivant : 001189

Application of shear-wave elastography to estimate the stiffness of the male striated urethral sphincter during voluntary contractions.

Auteurs : Ryan E. Stafford [Australie] ; Rafeef Aljuraifani [Australie] ; François Hug [Australie] ; Paul W. Hodges [Australie]

Source :

RBID : pubmed:27753239

Descripteurs français

English descriptors

Abstract

To investigate whether increases in stiffness can be detected in the anatomical region associated with the striated urethral sphincter (SUS) during voluntary activation using shear-wave elastography (SWE); to identify the location and area of the stiffness increase relative to the point of greatest dorsal displacement of the mid urethra (i.e. SUS); and to determine the relationship between muscle stiffness and contraction intensity.

DOI: 10.1111/bju.13688
PubMed: 27753239


Affiliations:


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pubmed:27753239

Le document en format XML

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<name sortKey="Aljuraifani, Rafeef" sort="Aljuraifani, Rafeef" uniqKey="Aljuraifani R" first="Rafeef" last="Aljuraifani">Rafeef Aljuraifani</name>
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<term>Healthy Volunteers</term>
<term>Humans</term>
<term>Male</term>
<term>Muscle Contraction (physiology)</term>
<term>Pelvic Floor (diagnostic imaging)</term>
<term>Pelvic Floor (physiology)</term>
<term>Perineum (physiology)</term>
<term>Ultrasonography (methods)</term>
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<term>Adulte</term>
<term>Contraction musculaire (physiologie)</term>
<term>Humains</term>
<term>Imagerie d'élasticité tissulaire</term>
<term>Mâle</term>
<term>Plancher pelvien (imagerie diagnostique)</term>
<term>Plancher pelvien (physiologie)</term>
<term>Périnée (physiologie)</term>
<term>Urètre (physiologie)</term>
<term>Volontaires sains</term>
<term>Échographie ()</term>
<term>Électromyographie</term>
<term>Études de faisabilité</term>
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<term>Plancher pelvien</term>
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<term>Contraction musculaire</term>
<term>Plancher pelvien</term>
<term>Périnée</term>
<term>Urètre</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Muscle Contraction</term>
<term>Pelvic Floor</term>
<term>Perineum</term>
<term>Urethra</term>
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<term>Adult</term>
<term>Elasticity Imaging Techniques</term>
<term>Electromyography</term>
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<front>
<div type="abstract" xml:lang="en">To investigate whether increases in stiffness can be detected in the anatomical region associated with the striated urethral sphincter (SUS) during voluntary activation using shear-wave elastography (SWE); to identify the location and area of the stiffness increase relative to the point of greatest dorsal displacement of the mid urethra (i.e. SUS); and to determine the relationship between muscle stiffness and contraction intensity.</div>
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<Month>10</Month>
<Day>18</Day>
</DateCreated>
<DateCompleted>
<Year>2017</Year>
<Month>08</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>08</Month>
<Day>28</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1464-410X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>119</Volume>
<Issue>4</Issue>
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<Year>2017</Year>
<Month>Apr</Month>
</PubDate>
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<Title>BJU international</Title>
<ISOAbbreviation>BJU Int.</ISOAbbreviation>
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<ArticleTitle>Application of shear-wave elastography to estimate the stiffness of the male striated urethral sphincter during voluntary contractions.</ArticleTitle>
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<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To investigate whether increases in stiffness can be detected in the anatomical region associated with the striated urethral sphincter (SUS) during voluntary activation using shear-wave elastography (SWE); to identify the location and area of the stiffness increase relative to the point of greatest dorsal displacement of the mid urethra (i.e. SUS); and to determine the relationship between muscle stiffness and contraction intensity.</AbstractText>
<AbstractText Label="SUBJECTS AND METHODS" NlmCategory="METHODS">In all, 10 healthy men participated. A linear ultrasound (US) transducer was placed mid-sagittal on the perineum adjacent to a pair of electromyography electrodes that recorded non-specific pelvic floor muscle activity. Stiffness in the area expected to contain the SUS was estimated via US SWE at rest and during voluntary pelvic floor muscles contractions to 5%, 10% and 15% maximum. Still image frames were exported for each repetition and analysed with software that detected increases in stiffness above 150% of the resting stiffness.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Pelvic floor muscle contraction elicited an increase in stiffness above threshold within the region expected to contain the SUS for all participants and contraction intensities. The mean (SD) ventral-dorsal distance between the centre of the stiffness area and region of maximal motion of the mid-urethra (caused by SUS contraction) was 5.6 (1.8), 6.2 (0.8), and 5.8 (0.7) mm for 5%, 10% and 15% maximal voluntary contraction, respectively. Greater pelvic floor muscle contraction intensity resulted in a concomitant increase in stiffness, which differed between contraction intensities (5% vs 10%, P < 0.001; 5% vs 15%, P < 0.001; 10% vs 15%, P = 0.003).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Voluntary contraction of the pelvic floor muscles in men is associated with an area of stiffness increase measured with SWE, which concurs with the expected location of the SUS. The increase in stiffness occurred in association with an increase in perineal surface electromyography activity, providing evidence that stiffness amplitude relates to general pelvic floor muscle contraction intensity. Future applications of SWE may include investigations of patient populations in which dysfunction of the SUS is thought to play an important role, or investigation of the effect of rehabilitation programmes that target this muscle.</AbstractText>
<CopyrightInformation>© 2016 The Authors BJU International © 2016 BJU International Published by John Wiley & Sons Ltd.</CopyrightInformation>
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<ForeName>Ryan E</ForeName>
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<Affiliation>Centre for Clinical Research Excellence in Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Qld, Australia.</Affiliation>
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<Affiliation>Centre for Clinical Research Excellence in Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Qld, Australia.</Affiliation>
</AffiliationInfo>
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<LastName>Hug</LastName>
<ForeName>François</ForeName>
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<Affiliation>Centre for Clinical Research Excellence in Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Qld, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Laboratory 'Movement, Interactions, Performance', Faculty of Sport Sciences, University of Nantes, Nantes, France.</Affiliation>
</AffiliationInfo>
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<QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName>
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<MeshHeading>
<DescriptorName UI="D014521" MajorTopicYN="N">Urethra</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName>
</MeshHeading>
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<Keyword MajorTopicYN="N">elastography</Keyword>
<Keyword MajorTopicYN="N">male</Keyword>
<Keyword MajorTopicYN="N">pelvic floor</Keyword>
<Keyword MajorTopicYN="N">stiffness</Keyword>
<Keyword MajorTopicYN="N">striated urethral sphincter</Keyword>
<Keyword MajorTopicYN="N">ultrasonography</Keyword>
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