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Abstract
Finding a correlation between the uterosacral ligaments (USL) and the urgency urinary incontinence(UUI) in females, as assumed by recent studies, using MRI pelvic floor with the aim of detecting gross anatomical differences in the uterosacral ligaments configuration between the control group and the urge incontinence cases group thus repairing a female’s lax uterosacral ligaments could be a possible treatment for her UUI if what supposed was true. The study was designed as a prospective controlled study during the period from May 2014 to september 2015.It was conducted on 68 female subjects (30 cases complaining of urge urinary incontinence and 38 normal controls). Evaluation included detailed history, physical examination, urinalysis, abdominopelvic ultrasound, urodynamic evaluation and MRI examination (static and dynamic) to compare the mean length, craniocaudal leveling, origin and insertion of the uterosacral ligaments between the study groups. All control group were continent and asymptomatic, with their POPQ assessment having all points at least 1 cm above the hymen. There is statistically significant difference between the mean USL lengths in the case and control groups with longer lengths in the urge incontinence group. There was no correlation between the length (laxity) of the ligament and the symptoms of the cases whether its severity or duration