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translabial ultrasound

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https://www.readbyqxmd.com/read/28984047/using-z-scores-to-evaluate-levator-hiatal-dimensions-with-four-dimensional-translabial-ultrasound
#1
Lieming Wen, Jing Zhang, Shi Zeng, Qichang Zhou
AIM: This study represents the first attempt to use 'Z-scores' to assess levator hiatal dimensions and quantify hiatal expansion. METHODS: We undertook a retrospective study on the data of 110 nulliparae and 73 pelvic organ prolapse (POP) patients who had a clinical POP exam and translabial 4-D ultrasound. We used Z-scores to normalize the dimensions of nulliparae levator hiatus and to build a Z-score model to evaluate the 'hiatal ballooning' against the POP staging...
October 6, 2017: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/28914702/digitation-to-void-what-is-the-significance-of-this-symptom
#2
Ismael Ortega, Nishamini Subramaniam, Talia Friedman, Friyan Turel, Hans Peter Dietz
OBJECTIVE: Digitation to void is defined as the need to apply manual pressure on the perineum or the vagina to assist with voiding. It has been associated with prolapse; however, there is little objective data concerning this symptom. Our aim was to determine the correlation between digitation to void, symptoms and signs of pelvic organ prolapse (POP), and urodynamic data. METHODS: This was a retrospective study that included a total of 1174 patients seen at a tertiary urogynecological unit...
September 13, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28914337/obesity-how-much-does-it-matter-for-female-pelvic-organ-prolapse
#3
Natharnia Young, Ixora Kamisan Atan, Rodrigo Guzman Rojas, Hans Peter Dietz
INTRODUCTION AND HYPOTHESIS: The objective was to determine the association between body mass index (BMI) and symptoms and signs of female pelvic organ prolapse (POP). METHODS: An observational cross-sectional study of 964 archived datasets of women seen for symptoms and signs of lower urinary tract and pelvic organ dysfunction between September 2011 and February 2014 at a tertiary urogynaecology centre in Australia was carried out. An in-house standardised interview, the International Continence Society Pelvic Organ Prolapse Quantification (ICS POP-Q) and 4-D translabial ultrasound, followed by analysis of ultrasound volumes for pelvic organ descent and hiatal area on Valsalva, were performed, blinded against other data...
September 15, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28894152/combination-of-tomographic-ultrasound-imaging-and-three-dimensional-magnetic-resonance-imaging-based-model-to-diagnose-postpartum-levator-avulsion
#4
Yulin Yan, Chaoran Dou, Xia Wang, Yan Xi, Bing Hu, Li Ma, Tao Ying
Vaginal delivery may cause levator avulsion, which may increase the risk of pelvic floor dysfunction (PFD). To explore the morphological changes of the levator ani muscle (including the puborectalis and iliococcygeus) and levator avulsion after vaginal delivery, translabial tomographic ultrasound imaging (TUI) was used to examine 80 women 45-60 days after their vaginal delivery. Subsequently, magnetic resonance imaging (MRI) was performed if at least one-sided puborectalis avulsion was found on TUI. The incidence of puborectalis avulsion in these postpartum women was 13...
September 11, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28891280/pelvic-floor-evaluation-with-transperineal-ultrasound-a-new-approach
#5
Francesca Vellucci, Cristina Regini, Chiara Barbanti, Stefano Luisi
The increased life expectancy, the importance of the prevention in younger age and the role of the pelvic floor disfunction not only in the disease of the third age, but also in the childbearing age, as the influence on the type of delivery, underline the importance of the evaluation of the pelvic floor. The evaluation of pelvic floor is generally clinical, but in the last 2 decades, the use of ultrasound has become a mainstream diagnostic tool in the investigation of female pelvic organ prolapse, urinary and fecal incontinence and defecation disorders, providing an immediate objective confirmation of findings obtained on clinical examination and filling some of the gaps of the urogynecological exam...
September 5, 2017: Minerva Ginecologica
https://www.readbyqxmd.com/read/28840274/prevalence-of-levator-ani-muscle-avulsion-and-effect-on-quality-of-life-in-women-with-pelvic-organ-prolapse
#6
Chun Hung Yu, Symphorosa Shing Chee Chan, Rachel Yau Kar Cheung, Tony Kwok Hung Chung
INTRODUCTION AND HYPOTHESIS: Levator ani muscle (LAM) avulsion is associated with pelvic organ prolapse (POP). There is limited information on the prevalence of LAM avulsion in Chinese women with POP. This study evaluated the prevalence of LAM avulsion in women presenting with POP and the effects on their quality of life (QoL). METHODS: This prospective study was conducted in a tertiary urogynecology center. Chinese women presenting with POP were recruited and completed standardized questionnaires exploring their symptoms and QoL and underwent gynecological examination to assess the stage of POP and involved compartments...
August 24, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28733790/is-a-dragging-sensation-a-symptom-of-female-pelvic-organ-prolapse
#7
Hans Peter Dietz, Candice Chatel, Ixora Kamisan Atan
INTRODUCTION AND HYPOTHESIS: Pelvic organ prolapse (POP) commonly presents with a "vaginal lump or bulge" and/or a "dragging sensation." The first symptom correlates strongly with clinical and imaging data. However, a "dragging sensation" may be less specific. Hence, we investigated the predictive value of both symptoms for POP. METHODS: This was a retrospective study involving archived data sets of women seen between November 2013 and May 2014. All underwent a clinical interview, POPQ examination, and 4D translabial ultrasound (TLUS)...
July 21, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28674949/dynamic-translabial-ultrasound-versus-echodefecography-combined-with-the-endovaginal-approach-to-assess-pelvic-floor-dysfunctions-how-effective-are-these-techniques
#8
S M Murad-Regadas, S A Karbage, L S Bezerra, F S P Regadas, A da Silva Vilarinho, L B Borges, F S P Regadas Filho, L B Veras
BACKGROUND: The aim of this study was to evaluate the role of dynamic translabial ultrasound (TLUS) in the assessment of pelvic floor dysfunction and compare the results with echodefecography (EDF) combined with the endovaginal approach. METHODS: Consecutive female patients with pelvic floor dysfunction were eligible. Each patient was assessed with EDF combined with the endovaginal approach and TLUS. The diagnostic accuracy of the TLUS was evaluated using the results of EDF as the standard for comparison...
July 3, 2017: Techniques in Coloproctology
https://www.readbyqxmd.com/read/28538602/pelvic-organ-prolapse-does-hormone-therapy-use-matter
#9
Erika J Wasenda, Ixora Kamisan Atan, Nishamini Subramaniam, Hans Peter Dietz
OBJECTIVE: To determine the effect of hormone therapy (HT) use on pelvic organ support. METHODS: A retrospective observational study involving postmenopausal women with pelvic floor dysfunction attending a tertiary urogynecology center between January 2012 and March 2015. All underwent a clinical examination including International Continence Society Pelvic Organ Prolapse Quantification and 4D translabial ultrasound imaging. Information on current or former use of systemic HT and current local estrogen use was collected...
October 2017: Menopause: the Journal of the North American Menopause Society
https://www.readbyqxmd.com/read/28444408/prolapse-assessment-supine-and-standing-do-we-need-different-cutoffs-for-significant-prolapse
#10
Nuria-Laia Rodríguez-Mias, Nishamini Subramaniam, Talia Friedman, Ka Lai Shek, Hans Peter Dietz
INTRODUCTION AND HYPOTHESIS: Translabial ultrasound (TLUS) has shown good correlations between clinical examination and imaging findings in the supine position, and limits of normality have been described. This is not the case for imaging in the standing position. This study was designed to test the hypothesis that different cutoff values are required for imaging in the standing position. METHODS: This was a retrospective study carried out in a tertiary urogynecological unit in women presenting with symptoms of lower urinary tract and pelvic floor dysfunction between August 2013 and December 2015...
April 25, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28285396/pelvic-organ-support-several-years-after-a-first-birth
#11
Caroline W S Ferreira, Ixora K Atan, Andrew Martin, Ka Lai Shek, Hans Peter Dietz
INTRODUCTION AND HYPOTHESIS: Female pelvic organ prolapse is highly prevalent and childbirth has been shown to be an important risk factor. The study was carried out to observe if pelvic organ support deteriorates over time following a first birth. METHODS: This is a retrospective review using archived data sets of women seen in the context of two prospective perinatal imaging studies. All subjects had undergone a standardised interview, a clinical examination and 4D translabial ultrasound, 3 months and 2-5 years post-partum...
March 11, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28236365/a-longitudinal-follow-up-of-pelvic-floor-biometry-what-are-the-factors-affecting-it
#12
Symphorosa Sc Chan, Rachel Yk Cheung, L L Lee, Tony Kh Chung
OBJECTIVE: To evaluate pelvic floor biometry 3-5 years after first delivery. The effect of a second delivery and mode of delivery were studied. METHODS: Women, who had been assessed at first pregnancy, 8 weeks postnatally and one year after delivery, were invited for follow-up. Positions of the bladder neck (BN), cervix, anorectal junction and hiatal area (HA), were evaluated by translabial ultrasound. The effects of parity, mode of delivery and levator ani muscle (LAM) avulsion were studied...
February 25, 2017: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28213798/digital-rectal-examination-in-the-evaluation-of-rectovaginal-septal-defects
#13
Suneetha Rachaneni, Ixora Kamisan Atan, Ka Lai Shek, Hans Peter Dietz
INTRODUCTION AND HYPOTHESIS: The objective was to evaluate the diagnostic potential of digital rectal examination in the identification of a true rectocele. METHODS: This is a retrospective observational study utilising 187 archived data sets of women presenting with lower urinary tract symptoms and/or pelvic organ prolapse between August 2012 and November 2013. Evaluation included a standardised interview, ICS-POPQ, rectal examination and 4D translabial ultrasound...
February 17, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28185316/applying-translabial-ultrasound-to-detect-synthetic-slings-you-can-do-it-too-a-comparison-of-urology-trainees-to-an-attending-radiologist
#14
Jim K Shen, Daniel Faaborg, Glenn Rouse, Isaac Kelly, Roger Li, Muhannad Alsyouf, Kristene Myklak, Brian Distelberg, Andrea Staack
AIMS: Translabial ultrasound (TUS) is a useful tool for identifying and assessing synthetic slings. This study evaluates the ability of urology trainees to learn basic pelvic anatomy and sling assessment on TUS. METHODS: Eight urology trainees (six residents and two medical students) received a lecture reviewing basic anatomy and sling assessment on TUS followed by review of two training cases. Next, they underwent a 126-question examination assessing their ability to identify anatomic planes and structures in those planes, identify the presence of slings, and assess the location and intactness of a sling...
September 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28134704/diagnostic-accuracy-and-clinical-implications-of-translabial-ultrasound-for-the-assessment-of-levator-ani-defects-and-levator-ani-biometry-in-women-with-pelvic-organ-prolapse-a-systematic-review
#15
Kim J B Notten, Tineke F M Vergeldt, Sander M J van Kuijk, Mirjam Weemhoff, Jan-Paul W R Roovers
OBJECTIVE: The aim of this study was to assess the diagnostic accuracy and clinical implications of translabial 3-dimensional (3D) ultrasound for the assessment of levator ani defects and biometry in women with pelvic organ prolapse (POP). METHODS: We performed a systematic literature search through computerized databases including MEDLINE (via PubMed), EMBASE (via OvidSP), and the Cochrane Library using both medical subject headings and text terms from January 1, 2003, to December 25, 2015...
November 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28102588/three-dimensional-translabial-ultrasound-assessment-of-urethral-supports-and-the-urethral-sphincter-complex-in-stress-urinary-incontinence
#16
Jordi Cassadó Garriga, Antoni Pessarrodona Isern, Monica Rodríguez Carballeira, Mar Pallarols Badia, Manuela Moya Del Corral, Marta Valls Esteve, Eva Huguet Galofré
AIMS: The pathophysiological mechanism of incontinence is multifactorial. We evaluated the role of 3D-4D ultrasound in the assessment of the fascial supports of the urethra and the urethral sphincter complex (USC) for diagnosing stress urinary incontinence. METHODS: Observational case-control study in women with and without stress urinary incontinence attending a urogynecology service and a general gynecology service. All women were interviewed, examined, and classified according to the Pelvic Organ Prolapse Quantification (POP-Q) and underwent a 3D-4D translabial ultrasound...
September 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28005595/pelvic-floor-ultrasound-a-review
#17
Hans Peter Dietz
Female pelvic floor dysfunction encompasses a number of prevalent conditions and includes pelvic organ prolapse, urinary and fecal incontinence, obstructed defecation, and sexual dysfunction. In most cases neither etiology nor pathophysiology are well understood. Imaging has great potential to enhance both research and clinical management capabilities, and to date this potential is underutilized. Of the available techniques such as x-ray, computed tomography, magnetic resonance imaging, and ultrasound, the latter is generally superior for pelvic floor imaging, especially in the form of perineal or translabial imaging...
March 2017: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27977408/use-of-translabial-three-dimensional-power-doppler-ultrasound-for-cervical-assessment-before-labor-induction
#18
Sertac Esin, Bulent Yirci, Serdar Yalvac, Omer Kandemir
OBJECTIVE: To compare translabial three-dimensional (3D) power Doppler ultrasound with Bishop score and transvaginal ultrasound measurements for cervical assessment before induction of labor with dinoprostone or cervical ripening balloon. MATERIALS AND METHODS: Translabial cervical volume and length, vascularization indices and transvaginal cervical length were measured. Results were compared among women who had vaginal delivery at 24 h or less and more than 24 h after the insertion of the dinoprostone vaginal insert or cervical ripening balloon and among women who had vaginal delivery and cesarean delivery for failure to go into labor or failure to progress...
July 26, 2017: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/27924376/predicting-levator-avulsion-from-ics-pop-q-findings
#19
Alejandro Pattillo Garnham, Rodrigo Guzmán Rojas, Ka Lai Shek, Hans Peter Dietz
INTRODUCTION AND HYPOTHESIS: Levator avulsion is a common consequence of vaginal childbirth. It is associated with symptomatic female pelvic organ prolapse and is also a predictor of recurrence after surgical correction. Skills and hardware necessary for diagnosis by imaging are, however, not universally available. Diagnosis of avulsion may benefit from an elevated index of suspicion. The aim of this study was to examine the predictive value of the International Continence Society Pelvic Organ Prolapse Quantification (ICS POP-Q) for the diagnosis of levator avulsion by tomographic 4D translabial ultrasound...
June 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/27793113/pre-induction-translabial-ultrasound-measurements-in-predicting-mode-of-delivery-compared-to-bishop-score-a-cross-sectional-study
#20
COMPARATIVE STUDY
Soghra Khazardoost, Fahimeh Ghotbizadeh Vahdani, Sahar Latifi, Sedighe Borna, Maryam Tahani, Mohammad Ali Rezaei, Masoomeh Shafaat
BACKGROUND: By increased concerns about the accuracy of the traditional methods to predict outcomes after induction of labor, developing new standards has a great clinical importance. Here, we compared the predictive value of translabial ultrasound measurements with Bishop Score to determine the suitability of induction of labor. METHODS: A homogenous population of primigravid women was recruited. Induction of labor was performed with low-dose infusion of oxytocin...
October 28, 2016: BMC Pregnancy and Childbirth
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