E-Posters-Description and Significance of an Anatomic Variation of Suburethra

Description and Significance of an Anatomic Variation of Suburethra - Oz Harmanli, MD

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Researchers from the Yale School of Medicine have identified an anatomical variation in the suburethral area that has not been described in the literature before. This variation is characterized by two separate round protuberances of soft tissue on each side of the midline. The researchers aimed to describe this variation and determine its significance, particularly in relation to stress urinary incontinence (SUI), age, vaginal birth, and pelvic organ prolapse (POP).<br /><br />A study was conducted involving 106 women, divided into two groups: those without stress incontinence (N=81) and those with stress incontinence (N=25). The mean ages of the two groups were 37.4 and 43.6, respectively. The average number of pregnancies, births, vaginal deliveries, and cesarean sections were also recorded for each group. Additionally, the presence of urge incontinence and pelvic organ prolapse was assessed.<br /><br />The results showed that the presence of bilateral suburethral protuberances was not significantly associated with age, number of vaginal deliveries, stress urinary incontinence, or urge urinary incontinence. However, pelvic organ prolapse was found to be a significant variable for the presence of these protuberances, with a notably higher odds ratio.<br /><br />Overall, this anatomical variation has not been previously described and is associated with pelvic organ prolapse. Other factors such as age, vaginal parity, and stress urinary incontinence were not found to be significant predictors of this variation. This research was presented at the AUGS Annual Meeting in Chicago in October 2018.

Keywords

Yale School of Medicine

anatomical variation

suburethral area

round protuberances

soft tissue

stress urinary incontinence

SUI

age

vaginal birth

pelvic organ prolapse