Document Detail

Transperineal ultrasound in the assessment of haemorrhoids and haemorrhoidectomy: a pilot study.
MedLine Citation:
PMID:  20390316     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The purpose of the study was the measurement of the anal cushion area using static transperineal ultrasound in a group of patients with symptomatic grade III and IV haemorrhoids about to undergo haemorrhoidectomy and compare them with a group of age-matched normals and the measured area following haemorrhoidectomy.
METHODS: Transperineal sonography was performed using a linear transducer measuring the anal cushion area by subtracting the measured luminal diameter of the undisturbed anal canal from the inner border of the internal anal sphincter. Measures were made 6 weeks following haemorrhoidectomy.
RESULTS: Comparisons were made between 22 normals and 36 patients with haemorrhoids (31 evaluable post-operatively). The median area of normals was 0.78 cm², that of pre-operative patients 2.25 cm² and that of post-operative cases 1.20 cm². There was a significant difference between pre- and post-operative cases with cushion areas of normal patients being significantly lower than post-operative cases. Variance of measurement in all 3 groups was negligible.
CONCLUSION: Static transperineal sonography measuring the anal cushion area is reproducible and shows marked differences between normals and patients with symptomatic haemorrhoids. There is a marked effect on measured area resultant from haemorrhoidectomy.
A P Zbar; R Murison
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Techniques in coloproctology     Volume:  14     ISSN:  1128-045X     ISO Abbreviation:  Tech Coloproctol     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-11-30     Completed Date:  2010-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9613614     Medline TA:  Tech Coloproctol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  175-9     Citation Subset:  IM    
Department of Surgery, Tamworth Rural Referral Centre, Universities of New England and Newcastle, PO Box 2064, Tamworth, NSW 2340, Australia.
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MeSH Terms
Anal Canal / pathology*,  ultrasonography*
Hemorrhoids / pathology*,  surgery,  ultrasonography*
Intestinal Mucosa / pathology,  ultrasonography
Middle Aged
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