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Published in: Techniques in Coloproctology 5/2014

01-05-2014 | How I Do It

Translabial ultrasound in the assessment of pelvic floor and anorectal function in women with defecatory disorders

Author: H. P. Dietz

Published in: Techniques in Coloproctology | Issue 5/2014

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Abstract

This article shows how modern ultrasound imaging can contribute to the investigation of patients with posterior vaginal wall prolapse, obstructed defecation, fecal incontinence and rectal intussusception/prolapse, conditions that should be similarly relevant and of interest to colorectal surgeons, gastroenterologists and gynecologists. Translabial/perineal ultrasound, a simple, universally available technique, may serve as a first-line diagnostic tool in women with posterior compartment prolapse and/or symptoms of obstructed defecation, largely replacing defecation proctography and magnetic resonance proctography. This has advantages for healthcare systems, since sonographic imaging is less expensive, non-invasive, less time-consuming and does not involve radiation exposure. However, there is a substantial need for teaching that remains unmet to date. This article illustrates in details the technique of translabial ultrasonography adopted by our unit and reviews the literature supporting this method of assessing pelvic floor and anorectal function in women with defecatory disorders.
Appendix
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Metadata
Title
Translabial ultrasound in the assessment of pelvic floor and anorectal function in women with defecatory disorders
Author
H. P. Dietz
Publication date
01-05-2014
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 5/2014
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-013-1117-5

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