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Archives of Gynecology and Obstetrics

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01-04-2016 | General Gynecology

Assessment of pelvic floor muscle contractility: digital palpation versus 2D and 3D perineal ultrasound

Authors: Stefan Albrich, Joscha Steetskamp, Sophie-Luise Knoechel, Saskia Porta, Gerald Hoffmann, Christine Skala

Published in: Archives of Gynecology and Obstetrics | Issue 4/2016

Abstract

Purpose

The aim of our study was to investigate 2D and 3D ultrasound assessment of pelvic floor muscle contractility as an objective non-invasive diagnostic tool in urogynecologic patients.

Methods

Patients from our urogynecological outpatient clinic were examined clinically by a single investigator including digital palpation as well as 2D and 3D perineal ultrasound. Muscle contractility was graded according to the modified Oxford Score and ultrasound images were saved for later analysis. Stored images were evaluated offline by another investigator blinded to all clinical data at a later stage. Bladder neck distance from pubic symphysis and symphysis-levator distance were measured in 2D at rest and during maximal pelvic floor muscle contraction. Hiatal area at the level of minimal hiatal dimensions as a 3D ultrasound parameter was measured at rest and during maximal pelvic floor muscle contraction, too. Spearman’s rho was used to calculate statistical correlation between ultrasound parameters and digital assessment.

Results

A total of 114 patients were examined in our study. We found a significant correlation between modified Oxford Score and 2D ultrasound parameters of elongation of bladder neck length (Spearman’s rho 0.292, p = 0.002) and reduction of symphysis-levator distance (Spearman’s rho 0.0.301, p = 0.001), respectively. In addition, we detected a statistical significant correlation of modified Oxford Score and reduction of hiatal area in 3D ultrasound (Spearman’s rho 0.458, p < 0.001), too.

Conclusions

In this study, we found a significant correlation of subjective digital assessment of pelvic floor muscle strength with 2D and 3D ultrasound parameters as an objective diagnostic tool.

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Title: Assessment of pelvic floor muscle contractility: digital palpation versus 2D and 3D perineal ultrasound
Authors: Stefan Albrich
Joscha Steetskamp
Sophie-Luise Knoechel
Saskia Porta
Gerald Hoffmann
Christine Skala
Publication date: 01-04-2016
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 4/2016
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-015-3897-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Assessment of pelvic floor muscle contractility: digital palpation versus 2D and 3D perineal ultrasound

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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