Evaluation of stress i̇ncontinence with introital sonography

Stress incontinence due to physical activity occurs as a result of inadequate response of urethral sphincter despite increased bladder pressure. It is observed with cystocele in middle-aged and older women, especially in cases such as laughing, heavy lifting, straining, bending, and coughing. Since cystocele is the simplest form of genital sagging, it is the external orifice of the urethra going out of the vulva especially in cases of stress as a result of pelvic floor relaxation after frequent births. This condition usually occurs in conjunction with the anterior vaginal descensus, as there is a tight connection between perivesical connective tissue and vaginal anterior wall. Hence, the bladder base and urethra come out from vulva during straining. Aetiological reason for cystocele is the insufficiency on the pelvic floor. Weakness in the tissue that covers the genital organs and inferiority of the pelvis, may be congenital or usually occur later.