| Dynamic transperineal ultrasound in the diagnosis of pelvic floor disorders: pilot study. | |
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MedLine Citation:
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PMID: 11852339 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Defecating proctography and more recently, magnetic resonance imaging have both been used for diagnosis in patients with pelvic floor dysfunction. This pilot study assessed the feasibility of dynamic transperineal ultrasound in a range of specific disorders affecting evacuation. METHODS: A protocol of sagittal and transverse transperineal imaging was established defining the infralevator viscera and soft tissues and the margins of the puborectalis muscle. Dynamic measurements were possible for the extent of puborectalis shortening, the anorectal angle, and the movement during straining of the anorectal junction. Calculations were made of the depth of demonstrated rectoceles, the posterior urethrovesical angle, and the movement of the urethrovesical junction. Diagnoses were confirmed by proctography (where appropriate) and clinical examination. RESULTS: Transverse images of the anal sphincter were comparable with those obtained using endoanal ultrasonography. Sagittal images permitted the measurement of puborectalis contraction and the anorectal angle comparable with those obtained during defecography. Cystoceles were able to be diagnosed during closure of the posterior urethrovesical angle and abnormal urethrovesical junction descent during straining. Rectoceles, peritoneoceles, enteroceles, and rectoanal intussusception were readily identified using dynamic transperineal ultrasonography. CONCLUSION: Dynamic transperineal ultrasound is a simple, noninvasive way to assess dynamically the interaction of the pelvic viscera and their relationship to the pelvic floor musculature in patients with evacuatory disorders and pelvic floor dysfunction. |
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Authors:
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Marc Beer-Gabel; Mark Teshler; Naphtali Barzilai; Yoav Lurie; Stephen Malnick; David Bass; Andrew Zbar |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Diseases of the colon and rectum Volume: 45 ISSN: 0012-3706 ISO Abbreviation: Dis. Colon Rectum Publication Date: 2002 Feb |
Date Detail:
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Created Date: 2002-02-19 Completed Date: 2002-03-06 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0372764 Medline TA: Dis Colon Rectum Country: United States |
Other Details:
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Languages: eng Pagination: 239-45; discussion 245-8 Citation Subset: IM |
Affiliation:
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Department of Gastroenterology, Kaplan Medical Center, Rehovot, Israel. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anal Canal / ultrasonography Defecation / physiology* Fecal Incontinence / ultrasonography* Female Humans Pelvic Floor / physiopathology, ultrasonography Pilot Projects Rectocele / ultrasonography* Rectum / ultrasonography Urinary Bladder Diseases / ultrasonography* Urinary Incontinence / ultrasonography* Vagina / ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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