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https://www.readbyqxmd.com/read/28005595/pelvic-floor-ultrasound-a-review
#1
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...
December 21, 2016: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27977408/use-of-translabial-three-dimensional-power-doppler-ultrasound-for-cervical-assessment-before-labor-induction
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
https://www.readbyqxmd.com/read/26699380/is-intrapartum-translabial-ultrasound-examination-painless
#15
Ying Tze Viola Chan, Kwun Sin Vivian Ng, Wai Kuen Yung, Tsz Kin Lo, Wai Lam Lau, Wing Cheong Leung
OBJECTIVES: To find out whether intrapartum translabial ultrasound examination is painless by comparing pain score of ultrasound-based versus digital vaginal examination of foetal head station. METHODS: In 94 women carrying uncomplicated-term singleton pregnancies, labour progress was assessed by translabial ultrasound, followed immediately by conventional digital vaginal examination. Pain scores (0-10) using visual analogue pain scale were obtained for both examinations...
October 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/26678354/computed-tomographic-study-of-anatomical-relationship-between-pubic-symphysis-and-ischial-spines-to-improve-interpretation-of-intrapartum-translabial-ultrasound
#16
C J Arthuis, F Perrotin, F Patat, L Brunereau, E G Simon
OBJECTIVE: To analyze the anatomical relationship between the pubic symphysis and the ischial spines to determine reliable landmarks for the assessment of fetal head descent by intrapartum translabial ultrasound (ITU). METHODS: All computed tomography (CT) scans performed for breech presentation and for twin delivery between 2006 and 2014 in a tertiary university hospital were obtained for measurement and analysis by two operators. The symphysis-left ischial spine angle (SIA) and the symphysis-left ischial spine distance (SID) were measured on three-dimensional reconstructions from the CT volume dataset...
December 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/26653174/intrapartum-translabial-ultrasound-with-pushing-used-to-predict-the-difficulty-in-vacuum-assisted-delivery-of-fetuses-in-non-occiput-posterior-position
#17
José Antonio Sainz, Carlota Borrero, Adriana Aquise, José Antonio García-Mejido, Laura Gutierrez, Ana Fernández-Palacín
OBJECTIVE: Our aim is to evaluate the capacity of intrapartum translabial ultrasound (ITU) with pushing in the prediction of difficulty of fetal extraction in vacuum assisted deliveries. Prospective, observational study performed (2/2015-8/2015) on 75 nulliparous women, ≥37 weeks with singleton pregnancies at full dilatation who had ITU-with-pushing performed, previous to vacuum-placement for fetal extraction. Working on the translabial sagittal-plane, we assessed: Angle-Progression (AoP), Progression-Distance (PD) and Head-Direction (HD); in the axial plane we evaluated: Midline-Angle (MLA) and Head-Perineum-Distance (HPD)...
October 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/26650224/is-the-levator-urethra-gap-helpful-for-diagnosing-avulsion
#18
Hans Peter Dietz, Alejandro Pattillo Garnham, Rodrigo Guzmán Rojas
INTRODUCTION AND HYPOTHESIS: Levator avulsion is a risk factor for female pelvic organ prolapse (POP) and recurrence after POP surgery. Imaging diagnosis requires the observation of an abnormal muscle insertion on tomographic ultrasound imaging (TUI). This study was designed to compare the diagnostic performance of the qualitative diagnosis (visual qualitative assessment) to measurement of the distance between muscle insertion and urethra [levator-urethra gap; (LUG)]. METHODS: This was a retrospective analysis of data obtained in a tertiary urogynecological unit...
June 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/26616261/is-it-necessary-to-diagnose-levator-avulsion-on-pelvic-floor-muscle-contraction
#19
H P Dietz, A Pattillo Garnham, R Guzmán Rojas
INTRODUCTION: Avulsion of the levator ani commonly occurs at vaginal birth. This condition is frequently diagnosed by translabial ultrasound (TLUS) during pelvic floor muscle contraction (PFMC). Some patients are unable to achieve a satisfactory PFMC, and in these cases avulsion is assessed at rest. The aim of this study was to validate this practice. METHODS: This is a retrospective study on 233 patients seen at a tertiary urogynecological centre. All underwent 4D TLUS, supine and after voiding...
November 30, 2015: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/26611759/the-bother-of-obstructed-defecation
#20
Pakeeza Alam, Rodrigo Guzmán Rojas, Ixora Kamisan Atan, Kirsty Mann, Hans Peter Dietz
OBJECTIVE: To examine the relationship of visual analog scale (VAS) bother scores for obstructed defecation (OD) with demographic data, physical examination, and sonographic findings of the posterior compartment. METHODS: All patients seen at a urogynecology clinic between January and October 2013 were included. Patients were identified to have OD with the following symptoms: incomplete bowel emptying, straining with bowel movements, and digitation. Patients used a VAS to rate OD bother on a scale of 0 to 10 (0= "no bother" and 10= "worst imaginable bother")...
November 27, 2015: Ultrasound in Obstetrics & Gynecology
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