Introduction: This study aimed to develop a method for evaluating pelvic floor function using M-mode ultrasound imaging and quantify the effectiveness of urinary incontinence rehabilitation.

Case Presentation: Eight participants aged 66-76 years, with urinary incontinence following radical prostatectomy, underwent pelvic floor muscle training. Using M-mode ultrasound, we compared bladder base elevation time, length, and speed during pelvic floor muscle contraction. The results showed that four patients recovered urinary continence. Four patients displayed a 38.4%-80.1% reduction in urinary incontinence volume. Bladder elevation time was significantly reduced in all patients. Moreover, elevation speed increased significantly. Bladder base elevation time was 0.1 s in all patients in the acquired urinary continence group.

Conclusions: Reducing bladder base elevation time to <0.2 s might be essential to achieve urinary continence. An elevation time of ≥0.3 s indicated significant pelvic floor muscle dysfunction.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436669PMC
http://dx.doi.org/10.1002/iju5.12476DOI Listing

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