The aim of this study was to show the anatomical alterations of the urethrovesical junction (UVJ) and proximal urethra (PU) carried out after Kelly-Kennedy type surgery. It was determined, by transvulvar ultrasonographic, of the UVJ and the PU the measures of the vertical and horizontal distances of the UVJ (DVUVJ and DHUVJ), pubourethral distance (DPU) and of the PU, in the pre-operative period and 30 days after the surgery for handling of patients with stress incontinence. It was concluded that the employed surgery promoted significant improvement of the degrees of stress incontinence, cure of cystocele and of retocele in all the patients. In relation to the lower board of the pubic simphisis, surgey moved the vertical position of UVJ, in the cranial direction, in the rest position, significantly, reducing its mobility in the effort. It also reduced DHUVJ, so much in rest as in effort. Furthermore, it promoted a reduction of PUD in the rest position, creating smaller mobility in effort, in statistically significant figures, as well as an increase in the length of PU, both in rest and the effort.
Proximal urethra; Urethrovesical junction; Kelly-Kennedy surgery
