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• W2055357461 abstract "You have accessJournal of UrologyImaging/Radiology: Uroradiology II1 Apr 20102145 REAL TIME MRI DURING PHYSIOLOGICAL VIDING IN MALE-ANATOMICAL CHANGES Yasmin Hocaoglu, Christian Gozzi, Margit Mayer, Alexander Roosen, Christian Georg Stief, and Ricarda Bauer Yasmin HocaogluYasmin Hocaoglu More articles by this author , Christian GozziChristian Gozzi More articles by this author , Margit MayerMargit Mayer More articles by this author , Alexander RoosenAlexander Roosen More articles by this author , Christian Georg StiefChristian Georg Stief More articles by this author , and Ricarda BauerRicarda Bauer More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.2246AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Aim of the study was to investigate physiological interaction between bladder, urethra and the pelvic floor during micturition in male patient visualized by real-time MRI. METHODS In our analysis 16 male patients with no history of urinary incontinence or obstructive voiding dysfunction were included. We analyzed visible interaction between bladder, urethra and the pelvic floor during Valsalva maneuver as well as before and during voiding via real time MRI. Mean age was 69.8 years (range 52-79 years). Mean prostate volume was 33,1 ccm (range 18-69 ccm). One Patient was not able to void during real-time MRI. Two patients had little residual urine. The axis bladder neck to pubococcygeal (PC) line and the angle between os pubis (OP) and the axis bladder neck was measured before and at the end of voiding. Additionally the angle between os pubis (OP) and the axis bladder neck was measured while performing Valsalva maneuver. RESULTS Before voiding, the axis bladder neck to PC line was 0 to +17 mm (median +11mm). At the end of voiding, the axis bladder neck to PC line was +9 to +27 mm (median +21mm). The angle between os pubis and the axis bladder neck before micturition was 23 degreess to 48 degrees (median 34 degrees) and at the end of micturition 39degrees to 114 degrees (median 55,5 degrees). In contrast, during Valsalva maneuver, no change of the angle between os pubis and the axis bladder neck could be found. CONCLUSIONS All patients enrolled in our study, showed relaxation of the pelvic floor, followed by descending of the bladder neck. Micturition could not be initiated until the angle between os pubis and the axis bladder neck started tilting. The results of our study presume that a change of the angle between os pubis and the axis bladder neck seems to contribute to the initiation of active micturition. Munich, Germany© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e834 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.Metrics Author Information Yasmin Hocaoglu More articles by this author Christian Gozzi More articles by this author Margit Mayer More articles by this author Alexander Roosen More articles by this author Christian Georg Stief More articles by this author Ricarda Bauer More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2055357461 date "2010-04-01" @default.
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• W2055357461 title "2145 REAL TIME MRI DURING PHYSIOLOGICAL VIDING IN MALE-ANATOMICAL CHANGES" @default.
• W2055357461 doi "https://doi.org/10.1016/j.juro.2010.02.2246" @default.
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