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Role of Dynamic Endovaginal Ultrasound in Assessment of Urinary Incontinence Routzong M1, Chang C2, Goldberg R2, Abramowitch S1, Rostaminia G2 1. University of Pittsburgh, 2. NorthShore University HealthSystem KEYWORDS: Imaging, Female, Stress Urinary Incontinence, Biomechanics Understanding the urethral closure mechanism and dysfunction in female stress urinary incontinence (SUI) has been debated by many investigators for decades. There are numerous hypotheses attempting to accurately explain the function of the urethral structures. The severity of SUI depends upon the ability of the urethra to maintain a robust urethral closure pressure during fluctuations in intra-abdominal pressure. Pelvic floor ultrasound is a useful tool to visualize urethral shape and motion during Valsalva. This study aimed to establish whether the closure mechanism of the urethra can be quantified by studying changes in the urethra’s shape and position during strain across varying degrees of SUI. Our hypothesis was that excessive urethral motion and urethral shape would differ between continent, mild SUI, and severe SUI groups. Read the full abstract text here: https://www.ics.org/2020/abstract/9