Pelvic Floor Ultrasound for the Diagnosis of Women with Early Postpartum Stress Incontinence

Objective: To analyze the diagnostic efficacy of trans-pelvic floor ultrasonography in women with Stress Urinary Incontinence (SUI) in the early postpartum period. Methods: Fifty-three patients with SUI who were admitted to the hospital from January 2024 to August 2024 at 42–96 d postpartum underwent ultrasonography and were analyzed in comparison with 35 patients in the control group at 28–32 weeks postpartum, and the bladder pressure grading and strength of myoelectric response as well as uterine contraction were measured on days 1, 7, and 14 after treatment. Results: The mean urinary flow rate was (79.65 ± 1.24)%, (80.34 ± 2.14)% and (86.40 ± 2.03)% on days 1, 7, and 14 after treatment in the ultrasound group, and (65.46 ± 1.58)%, (71.09 ± 1.47)% and (85.34 ± 2.69)% in the control group, respectively (P < 0.05). The intensity of myoelectric response in the ultrasound group was (1.69 ± 0.88) points on the 1st day, (3.41 ± 0.98) points on the 7th day, and (4.21 ± 0.77) points on the 14th day after the treatment, and the intensity of myoelectric response in the control group was (1.71 ± 0.91) points on the 1st day, (2.41 ± 0.78) points on the 7th day, and (3.12 ± 0.81) points on the 14th day after treatment in the ultrasound detection group was significantly higher than that of the control group, and the difference was statistically significant (P < 0.05). The time of the peak of the strongest uterine contraction in the observation group (53 cases) was (7.36 ± 0.87) d postpartum, and the time of the strongest peak of the strongest uterine contraction in the control group (35 cases) was (25.12 ± 1.24) d postpartum, the observation group was significantly better than the control group (P < 0.05). The uterine restoration time in the observation group was (32.69 ± 2.47) d postpartum, and the uterine restoration time in the control group was (45.36 ± 2.69) d postpartum, and the control group was slow and worse than the observation group (P < 0.05). Conclusion: For women with SUI in the early postpartum period, ultrasound can accurately assess pelvic floor muscle function and muscle strength, which is helpful for early clinical diagnosis and treatment.