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transperineal ultrasonography

Talisa Ross, Kamran Ahmed, Nicholas Raison, Ben Challacombe, Prokar Dasgupta
INTRODUCTION: Prostate specific antigen is a marker for prostate cancer and a key diagnostic tool, yet when to refer patients with a borderline PSA is currently unclear. This review describes how to assess a patient with borderline PSA and provides an algorithm for management. METHODS: Current literature on reference values, factors affecting PSA, indications for referral, non-invasive investigations and the role of MRI were reviewed. Medline and EMBASE were searched using MeSH terms...
September 27, 2016: International Journal of Clinical Practice
Magdalena Ciaciura-Jarno, Wojciech Cnota, Dominik Wójtowicz, Anna Niesłuchowska-Hoxha, Aleksandra Ruci, Rafał Kierach, Aleksandra Stępień, Agnieszka Nowak, Patrycja Sodowska
OBJECTIVES: The aim of the study is to determine the usefulness of ultrasound parameters in the second stage of labor in prediction of the method of delivery and to evaluate the benefits to be derived from this study. MATERIAL AND METHODS: Ultrasound scan was performed with Convex transabdominal probe on 68 pregnant women in labor at term with fetuses in cephalic presentation at the beginning of the second stage of labor and parameters such as angle of progression, head progression distance, head-symphysis distance and head-perineum distance were measured...
2016: Ginekologia Polska
Jiten Kulkarni, Anuradha J Patil, Bhaskar Musande, Abhishek B Bhamare
BACKGROUND: Although gracilis muscle transposition for faecal incontinence has been well-described method, its literature for use in obstetric perineal tear without colostomy is sparse. In this study, we have tried to analyse its use in fourth-degree obstetric perineal tears. PATIENTS AND METHODS: A total of 30 patients with recto-vaginal fistula with faecal incontinence secondary to obstetric perineal tear were retrospectively studied between February 2003 and May 2014...
January 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
Sergey Nikolaevich Novikov, Sergey Vasilevich Kanaev, Roman Vladimirovich Novikov, Nikolay Dmitrievich IIlin, Anna Sergeevna Artemieva, Alexnder Olegovich Ivantcov, Evgeniy Alexandrovich Piskunov, Mariya Yurievna Gotovchikova
PURPOSE: The aim of this work is to evaluate results of prostate transperineal saturation biopsy as a guide for focal high-dose-rate brachytherapy in patients with prostate cancer (PCa). MATERIAL AND METHODS: Template guided saturation biopsy was performed in 67 primary patients with suspicion for prostate cancer. Biopsy was performed under ultrasonography (US) control with the help of brachytherapy grid and 5 mm distance between samples. We put special attention for accurate sampling of prostate in periurethral region...
April 2016: Journal of Contemporary Brachytherapy
Fulvia Terracciano, Giuseppe Scalisi, Fabrizio Bossa, Daniela Scimeca, Giuseppe Biscaglia, Michele Mangiacotti, Maria Rosa Valvano, Francesco Perri, Anna Simeone, Angelo Andriulli
BACKGROUND: A pelvic magnetic resonance imaging (MRI) represents the front-line method for evaluating perianal disease in patients with inflammatory bowel disease (IBD). Recently, transperineal ultrasonography (TPUS) has been proposed as a simple, safe, time-sparing and useful diagnostic technique to assess different pathological conditions of the pelvic floor. AIM: The aim of this prospective single centre study was to evaluate the accuracy of TPUS versus MRI for the detection and classification of perineal disease in IBD patients...
August 2016: Digestive and Liver Disease
Anique T M Grob, Mariëlla I J Withagen, Maria K van de Waarsenburg, Karlijn J Schweitzer, Carl H van der Vaart
OBJECTIVE: To evaluate the association between mean echogenicity of the puborectalis muscle, measured using transperineal ultrasonography, in women during their first pregnancy and the subsequent mode of delivery. METHODS: This is a secondary analysis of a prospective observational study on the association between stress urinary incontinence and levator muscle avulsion after delivery of a first pregnancy. In this study, 280 nulliparous women with singleton pregnancies were examined with transperineal ultrasound examination at 12 and 36 weeks of gestation...
June 2016: Obstetrics and Gynecology
Heidi Haavik, Bernadette A Murphy, Jennifer Kruger
OBJECTIVE: The aim of this study was to investigate whether a single session of spinal manipulation of pregnant women can alter pelvic floor muscle function as measured using ultrasonographic imaging. METHODS: In this preliminary, prospective, comparative study, transperineal ultrasonographic imaging was used to assess pelvic floor anatomy and function in 11 primigravid women in their second trimester recruited via notice boards at obstetric caregivers, pregnancy keep-fit classes, and word of mouth and 15 nulliparous women recruited from a convenience sample of female students at the New Zealand College of Chiropractic...
June 2016: Journal of Manipulative and Physiological Therapeutics
Serdar Aydın, Rabia Zehra Bakar, Çağrı Arıoğlu Aydın, Pınar Özcan
OBJECTIVES: Determining the accuracy of three-dimensional (3D) sonographic measurement of symphysis pubis (SP) distension in comparison to plain X-ray pelvic radiographs and assessing the interperformer reliability of this method. METHODS: Pelvic X-ray was performed on 86 women who delivered singleton babies within 36 h of delivery then each woman was examined by 3D transperineal ultrasound imaging by two sonogrographers. RESULTS: Measurements of SP with 3D transperineal ultrasonography in comparison to pelvic X-ray showed 95% limits of agreement...
March 2016: Clinical Imaging
Wasan Ismail Al-Saadi
OBJECTIVE: To assess, using transperineal ultrasonography (TPUS), the numerical value of the rotation of the bladder neck [represented by the difference in the anterior (α angle) and posterior urethral angles (β angle)] at rest and straining, in continent women and women with stress urinary incontinence (SUI), to ascertain if there are significant differences in the angles of rotation (Rα and Rβ) between the groups. PATIENTS SUBJECTS AND METHODS: In all, 30 women with SUI (SUI group) and 30 continent women (control group) were included...
March 2016: Arab Journal of Urology
Kaouther Dimassi, Aymen Hammami, Amel Triki, Mohamed Faouzi Gara
No abstract text is available yet for this article.
June 2016: International Journal of Gynaecology and Obstetrics
Farah Lone, Abdul H Sultan, Aleksandra Stankiewicz, Ranee Thakar
OBJECTIVE: To assess the interobserver agreement of pelvic floor anatomical measurements using multicompartment pelvic floor ultrasound. METHODS: Females were recruited from the urogynaecology/gynaecology clinics between July and October 2009 and underwent multicompartment pelvic floor ultrasonography (PFUS) using two-dimensional (2D) transperineal ultrasound (TPUS), high-frequency 2D/three-dimensional (3D) endovaginal ultrasound (EVUS) using a biplane probe with linear and transverse arrays and a 360° rotational 3D-EVUS...
2016: British Journal of Radiology
Mikako Yoshida, Ryoko Murayama, Kumi Hotta, Yoshihide Higuchi, Hiromi Sanada
AIMS: To evaluate differences in motor learning of pelvic floor muscle (PFM) contraction between women with and without stress urinary incontinence (SUI) under transabdominal ultrasonography (TAUS)-guided PFM training. METHODS: Postpartum women received an intensive 3-month PFM training program from 3 to 6 months postpartum. The program consisted of home exercises and weekly group sessions with individual TAUS-guided training. Motor learning progress of PFM contraction was evaluated with TAUS at each weekly session...
September 9, 2015: Neurourology and Urodynamics
Susan Scott, Hemamali Samaratunga, Charles Chabert, Michelle Breckenridge, Troy Gianduzzo
OBJECTIVES: To assess the degree of upgrading and increase in clinical risk category of transperineal template biopsy (TTB) compared with transrectal ultrasonography-guided prostate biopsy (TRUSB). Upgrading of TRUSB Gleason grade and sum after radical prostatectomy (RP) is well recognised. TTB may offer a more thorough mapping of the prostate than TRUSB, as well as a more accurate assessment of the tumour. In this retrospective cohort study of prospectively collected data, we compare the initial TRUSB and TTB Gleason grade and sum with the final assessment at RP...
October 2015: BJU International
Serdar Aydın, Çağrı Arıoğlu Aydın
INTRODUCTION AND HYPOTHESIS: The levator hiatus and puborectalis muscle play a critical role in supporting the pelvic organs. Vaginal birth is known to be the main etiological factor for development of levator defects. The aim of this study was to define and evaluate changes in the levator ani immediately and at 3 months after delivery with 3D transperineal ultrasonography. METHODS: Of 92 eligible primiparous women who delivered vaginally, 84 were examined within 36 h of delivery (early evaluation) and 3 months after delivery (late evaluation) with 3D transperineal ultrasonography...
December 2015: International Urogynecology Journal
Cristina Alvarez-Colomo, Julio Alberto Gobernado-Tejedor
PURPOSE: To analyse the validity of ultrasonography in predicting the outcomes of labour induction, compared with Bishop score (BS), and to design a predictive model including ultrasound and clinical variables. METHODS: In this prospective, observational study of 151 women who underwent induction of labour, an endovaginal ultrasound was performed to determine cervical length (CL), the wedging pattern and the presence of dilatation and funnel. Foetal head-perineum distance (FHPD) was measured by transperineal ultrasound...
February 2016: Archives of Gynecology and Obstetrics
Emily K Wright, Kerri L Novak, Cathy Lu, Remo Panaccione, Subrata Ghosh, Stephanie R Wilson
Aims of treatment for Crohn disease have moved beyond the resolution of clinical symptoms to objective end points including endoscopic and radiological normality. Regular re-evaluation of disease status to safely, readily and reliably detect the presence of inflammation and complications is paramount. Improvements in sonographic technology over recent years have facilitated a growing enthusiasm among radiologists and gastroenterologists in the use of ultrasound for the assessment of inflammatory bowel disease...
November 2015: Canadian Journal of Gastroenterology & Hepatology
Hafsa U Memon, Joan L Blomquist, Hans P Dietz, Christopher B Pierce, Milena M Weinstein, Victoria L Handa
OBJECTIVE: Using three-dimensional transperineal ultrasonography, we compared the prevalence of levator ani muscle injury after forceps with vacuum-assisted vaginal delivery. METHODS: This was a retrospective cohort study. Women who experienced at least one forceps delivery (across all deliveries) were compared with women who had at least one vacuum birth. On average, participants were 10 years from the index delivery. Three-dimensional transperineal ultrasound volumes were captured as cine loops at rest with Valsalva and with pelvic floor muscle contraction...
May 2015: Obstetrics and Gynecology
Tuncay Yuce, Erkan Kalafat, Acar Koc
OBJECTIVE: To compare ultrasound measurements and clinical assessments of cervical dilatation, fetal head station and fetal head position. DESIGN: Prospective, observational study. SETTING: Tertiary care center (Ankara University Hospital), labor ward. POPULATION: Forty-three women in labor. METHODS: Women were prospectively evaluated through simultaneous examinations (79 in total). Dilatation, head station, and position were recorded via digital examination whenever possible and were compared with ultrasonographic measurements of dilatation, angle of progression, head-perineum distance, and head position by two independent operators...
July 2015: Acta Obstetricia et Gynecologica Scandinavica
Michał Głuszak, Wojciech Dziadecki, Mirosław Wielgoś, Piotr Węgrzyn
OBJECTIVE: To evaluate the practical application of intrapartum sonographic assessment of the progress of labor. MATERIAL AND METHODS: Eighty three full-term pregnant women who delivered at the Obstetrics and Gynecology Department were enrolled into this study. Transperineal ultrasonographic examinations were conducted with a convex transducer at the onset of active labor, yielding mid-sagittal and coronal images. Three parameters were measured: 1) the angle between the long axis of the symphysis pubis and the line joining its lowest margin to the contour of the fetal head (angle of progression); 2) the distance between the presenting point and the line perpendicular to the symphysis pubis and passing through its lowest margin; 3) the fetal head-perineum distance...
February 2015: Ginekologia Polska
M F Hamann, C Hamann, D Olzem, A Trettel, K P Juenemann, C M Naumann
BACKGROUND: Modern imaging modalities improve prostate diagnostics. OBJECTIVES: This study was performed to determine the outcome characteristics of biopsy procedures using the results of HistoScanning(TM) analysis (HS) for identifying prostate cancer (PCa) in patients with perineal template-guided prostate biopsy. PATIENTS AND METHODS: A total of 104 consecutive men (mean age 69 years, mean PSA 9.9 ng/ml) underwent HS prior to the extended prostate biopsy procedure...
November 2015: Der Urologe. Ausg. A
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