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Background and objectives : As pelvic floor disorders are often difficult to assess thoroughly based on clinical examination alone, the use of imaging as a complementary technique is helpful. This study's aim was to investigate by transperineal ultrasound (US) if there was any significant difference in the mobility of the bladder neck in women with stress urinary incontinence (SUI) without a cystocele and in those with SUI and an associated cystocele. The study also investigated whether the number of vaginal births and/or the heaviest newborn's birth weight was correlated with the bladder neck mobility. Materials and Methods : A total of 71 women suffering from SUI were included in the study and divided into two groups based on the presence of a cystocele. Their bladder neck mobility was evaluated by transperineal US, calculating the distance from the inferior margin of the symphysis pubis to the bladder neck (SPBN), and the dorsocaudal linear movement (DLM), term used to illustrate the displacement of the bladder neck by subtracting rest and Valsalva values. GraphPad Prism 8 was used for statistical analysis. Results : Within both study groups, the SPBN values were significantly higher and the DLM values were significantly lower at rest as compared to Valsalva maneuver ( p < 0.05). No significant difference between the groups regarding SPBN and DLM values at rest, Valsalva, or subtraction was demonstrated. A significant positive correlation was found between the bladder neck mobility and the heaviest newborn's birth weight, regardless of the presence of a cystocele ( p = 0.042). Conclusions : The presence of a cystocele had no significant impact on the bladder neck mobility measurements in patients with SUI. The heaviest newborn's birth weight positively correlated with bladder neck hypermobility, as quantified by SPBN.

The territorial-political complexity of the subject under consideration urged us to study in this paper only the way of electing the mayors in those 81 administrative-territorial units of the Cluj County: the cities of Cluj-Napoca, Turda, Dej, Câmpia Turzii and Dej, the town of Huedin and the 75 communes. As a result of the elections, held in two rounds (1st of June 2008, with the election of 32 among the mayors and 15 of June 2008, with the election of the reminder of 49 mandates), the 81 mayor offices went to the following political parties: the Liberal Democratic Party (LDP, with 28 mandates, respectively 34,6 %), the National Liberal Party (NLP, 23 and 28,4 %), the Social Democratic Party (SDP, 17 and 21,0 %), the Democratic Union of Hungarians from Romania (DUHR, 8 and 9,9 %), Independent Candidates (IC, 3 and 3,7 %), the New Generation Party-Christian Democratic (NGP-CD, 1 and 1,2 %) and the Democratic Force (DF, 1 and 1,2 %). The dominance of the Liberal Democratic Party (Cluj-Napoca, Turda, Câmpia Turzii and Gherla) can be noticed in the urban centers of the county, and also a territorial distribution of the mandates according to proximity and neighborhood effect. [ABSTRACT FROM AUTHOR]