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https://www.readbyqxmd.com/read/28285396/pelvic-organ-support-several-years-after-a-first-birth
#1
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
#2
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
#3
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
#4
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...
February 10, 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
#5
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...
January 27, 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
#6
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...
January 19, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28005595/pelvic-floor-ultrasound-a-review
#7
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
#8
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...
December 15, 2016: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/27924376/predicting-levator-avulsion-from-ics-pop-q-findings
#9
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...
December 6, 2016: 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
#10
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
https://www.readbyqxmd.com/read/27622984/levator-ani-trauma-and-pelvic-organ-prolapse-a-comparison-of-three-translabial-ultrasound-scoring-systems
#11
COMPARATIVE STUDY
Gerda Trutnovsky, Ixora Kamisan Atan, Daniela Ulrich, Andrew Martin, Hans P Dietz
INTRODUCTION: The study aimed to analyze the relation between the degree of puborectalis muscle trauma and subjective symptoms and objective findings of pelvic organ prolapse (POP), comparing two continuous scoring systems with a discrete scoring system for translabial ultrasound imaging. MATERIAL AND METHODS: In this retrospective observational study the records of patients attending a tertiary urogynecological unit between January 2012 and December 2014 were analyzed...
December 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27622412/reproducibility-in-pelvic-floor-biometric-parameters-of-nulliparous-women-assessed-by-translabial-three-dimensional-ultrasound-using-omniview-reformatting-technique
#12
Zsuzsanna Ilona Katalin Jármy-Di Bella, Edward Araujo Júnior, Claudinei Alves Rodrigues, Luiza Torelli, Wellington P Martins, Antonio Fernandes Moron, Manoel João Batista Castello Girão
AIM: To assess the reproducibility of pelvic floor biometric parameters by translabial three-dimensional ultrasound compared with the OmniView® reformatting technique. MATERIAL AND METHODS: We performed a cross-sectional study involving 47 nulliparous women without symptoms of pelvic floor dysfunction. The hiatal area and right pubovisceral muscle width measurements were performed in the axial plane using both 3D ultrasound in the rendering mode and OmniView® techniques...
September 2016: Medical Ultrasonography
https://www.readbyqxmd.com/read/27465815/the-association-between-levator-urethra-gap-measurements-and-symptoms-and-signs-of-female-pelvic-organ-prolapse
#13
Ixora Kamisan Atan, Ka Lai Shek, Glefy Inacio Furtado, Jessica Caudwell-Hall, Hans Peter Dietz
OBJECTIVES: Levator avulsion is associated with pelvic organ prolapse in women. It is diagnosed clinically by a widened gap on palpation between the insertion of the puborectalis muscle on the inferior pubic ramus and the urethra. This gap can also be assessed on imaging. This study aimed to determine the association between sonographically determined levator-urethral gap (LUG) measurements and symptoms and signs of prolapse. METHODS: This is a retrospective study on 450 women seen in a tertiary urogynecological center for symptoms of pelvic floor dysfunction between January 2013 and February 2014...
July 25, 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27363589/a-longitudinal-follow-up-of-levator-ani-muscle-avulsion-does-a-second-delivery-affect-it
#14
Symphorosa S C Chan, Rachel Y K Cheung, L L Lee, K W Choy, Tony K H Chung
OBJECTIVES: To evaluate the morphological outcome of levator ani muscle (LAM) avulsion 3-5 years after the first delivery and the effect of a second delivery on it. The impact of LAM avulsion on the pelvic floor disorders of women was also studied. METHODS: 666 women who had been assessed for LAM avulsion 8 weeks after first delivery were invited for a follow-up. They were evaluated by Pelvic Floor Distress Inventory (PFDI), POP-Q examination and 3D translabial ultrasound...
July 1, 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27250832/the-evolution-of-transperineal-ultrasound-findings-of-the-external-anal-sphincter-during-the-first-years-after-childbirth
#15
Ka Lai Shek, Vincent Della Zazzera, Ixora Kamisan Atan, Rodrigo Guzman Rojas, Susanne Langer, Hans Peter Dietz
INTRODUCTION AND HYPOTHESIS: Obstetric anal sphincter injuries (OASI) are a major form of maternal birth trauma. Ultrasound imaging is commonly used to evaluate the condition. We undertook a study to compare the sonographic appearance of the external anal sphincter (EAS) 3 to 6 months and 2 to 3 years after a first birth. METHODS: A retrospective analysis of data of primiparous women obtained in a prospective perinatal imaging study. Women were invited for postnatal assessment 3 - 6 months and 2 - 3 years after a first delivery...
December 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27131580/the-association-between-maternal-age-at-first-delivery-and-risk-of-obstetric-trauma
#16
Philip Rahmanou, Jessica Caudwell-Hall, Ixora Kamisan Atan, Hans P Dietz
BACKGROUND: There are a number of poor birth outcomes with advancing maternal age. Although there is some evidence of a higher risk of trauma to obstetric anal sphincter and the levator ani muscle with advancing age, findings to date are inconclusive. OBJECTIVE: The aim of this study was to assess the risk of pelvic floor injury using translabial 3- and 4-dimensional ultrasound relative to advancing maternal age in primiparous women after a singleton vaginal delivery at term and to determine any association between maternal age and obstetric trauma, including obstetric anal sphincter injuries, levator avulsion, and irreversible overdistension of the levator hiatus...
October 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26982609/correlation-of-intrapartum-translabial-ultrasound-parameters-with-computed-tomographic-3d-reconstruction-of-the-female-pelvis
#17
Robert Armbrust, Wolfgang Henrich, Larry Hinkson, Christian Grieser, Jan-Peter Siedentopf
AIMS: Intrapartum translabial ultrasound [ITU] can be an objective, reproducible and more reliable method than digital vaginal examination when evaluating fetal head position and station in prolonged second stage of labor. However, two-dimensional (2D) ultrasound is not sufficient to demonstrate the ischial spines and other important "landmarks" of the female pelvis. Therefore, the purpose of this study was to evaluate the distance of the interspinous plane as a parallel line to the infrapubic line in 2D ITU with the help of 3D computed tomography and digital reconstruction...
July 1, 2016: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/26924418/does-the-epi-no-%C3%A2-birth-trainer-prevent-vaginal-birth-related-pelvic-floor-trauma-a-multicentre-prospective-randomised-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
I Kamisan Atan, K L Shek, S Langer, R Guzman Rojas, J Caudwell-Hall, J O Daly, H P Dietz
OBJECTIVE: Vaginal childbirth may result in levator ani injury secondary to overdistension during the second stage of labour. Other injuries include perineal and anal sphincter tears. Antepartum use of a birth trainer may prevent such injuries by altering the biomechanical properties of the pelvic floor. This study evaluates the effects of Epi-No(®) use on intrapartum pelvic floor trauma. DESIGN: Multicentre prospective randomised controlled trial. SETTING: Two tertiary obstetric units in Australia...
May 2016: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/26865209/assessment-of-pelvic-organ-prolapse-a-review
#19
EDITORIAL
K L Shek, H P Dietz
No abstract text is available yet for this article.
December 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/26829349/ultrasound-evaluation-of-the-urethra-and-bladder-neck-before-and-after-transurethral-bulking
#20
Cecile A Unger, Matthew D Barber, Mark D Walters
OBJECTIVES: The aims of the study were to describe ultrasound findings in women with stress urinary incontinence (SUI) after transurethral injection of Coaptite, to describe symptoms 3 months after injection, and to determine whether there was an association between degree of improvement and sonographic findings. METHODS: This is a prospective cohort study of women with SUI undergoing transurethral Coaptite injection. Subjects completed the Urinary Distress Inventory and Incontinence Severity Index preinjection and 3 months postinjection...
March 2016: Female Pelvic Medicine & Reconstructive Surgery
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