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01-06-2005 | Review Article

Updated recommendations on ultrasonography in urogynecology

Authors: R. Tunn, G. Schaer, U. Peschers, W. Bader, A. Gauruder, E. Hanzal, H. Koelbl, D. Koelle, D. Perucchini, E. Petri, P. Riss, B. Schuessler, V. Viereck

Published in: International Urogynecology Journal | Issue 3/2005

Abstract

Ultrasound is a supplementary, indispensable diagnostic procedure in urogynecology; perineal, introital, and endoanal ultrasound are the most recommended techniques. The position and mobility of the bladder neck can be demonstrated. In patients undergoing diagnostic work-up for urge symptoms, ultrasound occasionally demonstrates urethral diverticula, leiomyomas, and cysts in the vaginal wall. These findings will lead to further diagnostic assessment. The same applies to the demonstration of bladder diverticula, foreign bodies in the bladder, and bullous edema. With endoanal ultrasound, different parts of the sphincter ani muscle can be evaluated. Recommendations for the standardized use of urogenital ultrasound are given.

Koelbl H, Hanzal E (1995) Imaging of the lower urinary tract. Curr Opin Obstet Gynecol 7:382–385PubMed

Bernaschek G (1989) Empfehlungen für eine einheitliche endosonographische Dokumentation in Geburtshilfe und Gynäkologie. Ultraschall Klin Prax 4:45–48

Merz E (1991) Standardisierung der Bilddarstellung bei der transvaginalen Sonographie. Gynäkol Geburtsh 1:37–38

Schaer GN, Koechli OR, Schuessler B, Haller U (1995) Perineal ultrasound for evaluating the bladder neck in urinary stress incontinence. Obstet Gynecol 85:224CrossRef

Peschers UM, Vodusek DB, Fanger G, Schaer GN, DeLancey JO, Schuessler B (2001) Pelvic muscle activity in nulliparous volunteers. Neurourol Urodyn 20:269–275CrossRefPubMed

Pregazzi R, Sartore A, Bortoli P, Grimaldi E, Troiano L, Guaschino S (2002) Perineal ultrasound evaluation of urethral angle and bladder neck mobility in women with stress urinary incontinence. BJOG 109:821–827PubMed

Bader W, Degenhardt F, Kauffels W, Nehls K, Schneider J (1995) Sonomorphologische Parameter der weiblichen Stressharninkontinenz. Ultraschall Med 16:180–185PubMed

Schwenke A, Fischer W (1994) Urogenitalsonographie bei weiblicher Harninkontinenz. Gynäkol Prax 16:683–694

Viereck V, Pauer HU, Bader W, Lange R, Viereck N, Emons G et al (2003) Ultrasound imaging of the lower urinary tract in women before and after colposuspension: a 6-month follow-up. Ultraschall Med 24:340–344CrossRefPubMed

10.

Viereck V, Pauer HU, Oppermann M, Hilgers R, Gauruder-Burmester A, Lange R et al (2004) Introital ultrasound of the lower genital tract before and after colposuspension: a four-year objective follow-up. Ultrasound Obstet Gynecol 23:277–283CrossRefPubMed

11.

Dietz HP, Clarke B (2001) The influence of posture on perineal ultrasound imaging parameters. Int Urogynecol J Pelvic Floor Dysfunct 12:104–106PubMed

12.

Schaer GN, Koechli OR, Schuessler B, Haller U (1996) Perineal ultrasound: determination of reliable examination procedures. Ultrasound Obstet Gynecol 7:347–352CrossRefPubMed

13.

Mouritsen L, Bach P (1994) Ultrasonic evaluation of bladder neck position and mobility: the influence of urethral catheter, bladder volume, and body position. Neurourol Urodyn 13:637–646PubMed

14.

Dietz HP, Wilson PD (1999) The influence of bladder volume on the position and mobility of the urethrovesical junction. Int Urogynecol J Pelvic Floor Dysfunct 10:3–6PubMed

15.

Peschers UM, Gingelmaier A, Jundt K, Leib B, Dimpfl T (2001) Evaluation of pelvic floor muscle strength using four different techniques. Int Urogynecol J Pelvic Floor Dysfunct 12:27–30CrossRefPubMed

16.

Dietz HP, Wilson PD, Clarke B (2001) The use of perineal ultrasound to quantify levator activity and teach pelvic floor muscle exercises. Int Urogynecol J Pelvic Floor Dysfunct 12:166–168CrossRefPubMed

17.

Bo K, Sherburn M, Allen T (2003) Transabdominal ultrasound measurement of pelvic floor muscle activity when activated directly or via a transversus abdominis muscle contraction. Neurourol Urodyn 22:582–588CrossRefPubMed

18.

Schaer GN, Perucchini D, Munz E, Peschers U, Koechli OR, DeLancey JO (1999) Sonographic evaluation of the bladder neck in continent and stress-incontinent women. Obstet Gynecol 93:412–416CrossRefPubMed

19.

Dietz HP, Haylen BT, Broome J (2001) Ultrasound in the quantification of female pelvic organ prolapse. Ultrasound Obstet Gynecol 18:511–514CrossRefPubMed

20.

Nguyen JK, Hall CD, Taber E, Bhatia NN (2000) Sonographic diagnosis of paravaginal defects: a standardized technique. Int Urogynecol J Pelvic Floor Dysfunction 11:341–345CrossRef

21.

Martan A, Masata J, Halaska M, Otcenasek M, Svabik K (2002) Ultrasound imaging of paravaginal defects in women with stress incontinence before and after paravaginal defect repair. Ultrasound Obstet Gynecol 19:496–500CrossRefPubMed

22.

Tunn R, Petri E (2003) Introital and transvaginal ultrasound as the main tool in the assessment of urogenital and pelvic floor dysfunction: an imaging panel and practical approach. Ultrasound Obstet Gynecol 22:205–213CrossRefPubMed

23.

Khullar V, Salvatore S, Cardozo L, Bourne TH, Abbott D, Kelleher CJ (1994) A novel technique for measuring bladder wall thickness in women using transvaginal ultrasound. Ultrasound Obstet Gynecol 3:220–223CrossRef

24.

Kociszewski J, Bagci S (2003) TVT—Sonographische Beobachtungen im Hinblick auf die korrekte Lage und Funktion des TVT-Bandes unter Berücksichtigung der individuellen Urethralänge. Geburtshilfe Frauenheilkund 63:640–647CrossRef

25.

Dietz HP, Wilson PD, Clarke B, Haylen BT (2001) Irritative symptoms after colposuspension: are they due to distortion or overelevation of the anterior vaginal wall and trigone? Int Urogynecol J Pelvic Floor Dysfunct 12:232–235CrossRefPubMed

26.

Martan A, Masata J, Halaska M, Voigt R (2001) Ultrasound imaging of the lower urinary system in women after Burch colposuspension. Ultrasound Obstet Gynecol 17:58–64CrossRefPubMed

27.

Buhr HJ, Kroesen AJ (2003) The importance of diagnostics in fecal incontinence endosonography (in German). Chirurg 74:4–14CrossRefPubMed

28.

Kumar A, Scholefield JH (2000) Endosonography of the anal canal and rectum. World J Surg 24:208–215CrossRefPubMed

29.

Nielsen MB (1998) Endosonography of the anal sphincter muscles in healthy volunteers and in patients with defecation disorders. Acta Radiol 416 [Suppl]:1–21

30.

Rottenberg GT, Williams AB (2002) Endoanal ultrasound. Br J Radiol 75:482–488PubMed

31.

Schafer R, Heyer T, Gantke B, Schafer A, Frieling T, Haussinger D et al (1997) Anal endosonography and manometry: comparison in patients with defecation problems. Dis Colon Rectum 40:293–297PubMed

32.

Soffer EE, Hull T (2000) Fecal incontinence: a practical approach to evaluation and treatment. Am J Gastroenterol 95:1873–1880PubMed

33.

Sultan AH, Loder PB, Bartram CI, Kamm MA, Hudson CN (1994) Vaginal endosonography. New approach to image the undisturbed anal sphincter. Dis Colon Rectum 37:1296–1299PubMed

34.

Sandridge DA, Thorp JM (1995) Vaginal endosonography in the assessment of the anorectum. Obstet Gynecol 86:1007–1009CrossRefPubMed

35.

Peschers UM, DeLancey JOL, Schaer GN, Schuessler B (1997) Exoanal ultrasound of the anal sphincter: normal anatomy and sphincter defects. Br J Obstet Gynaecol 104:999–1003PubMed

36.

Sultan AH, Kamm MA, Talbot IC, Nicholls RJ, Bartram CI (1994) Anal endosonography for identifying external sphincter defects confirmed histologically. Br J Surg 81:463–465PubMed

37.

Goode PS, Locher JL, Bryant RL, Roth DL, Burgio KL (2000) Measurement of postvoid residual urine with portable transabdominal bladder ultrasound scanner and urethral catheterization. Int Urogynecol J Pelvic Floor Dysfunct 11:296–300CrossRefPubMed

38.

Haylen BT (1989) Verification of the accuracy and range of transvaginal ultrasound in measuring bladder volumes in women. Br J Urol 64:350–352PubMed

39.

Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17PubMed

Title: Updated recommendations on ultrasonography in urogynecology
Authors: R. Tunn
G. Schaer
U. Peschers
W. Bader
A. Gauruder
E. Hanzal
H. Koelbl
D. Koelle
D. Perucchini
E. Petri
P. Riss
B. Schuessler
V. Viereck
Publication date: 01-06-2005
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 3/2005
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-004-1228-7

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Updated recommendations on ultrasonography in urogynecology

Abstract

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Abstract

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