Anal incontinence: diagnosis by endoanal US or endovaginal MRI

Pinta, Tarja; Kylänpää, Marja-Leena; Luukkonen, Pekka; Tapani, Erna; Kivisaari, A.; Kivisaari, Leena

doi:10.1007/s00330-004-2313-5

Cited by 18 publications

(4 citation statements)

References 30 publications

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“…Pinta and co-workers have shown that endovaginal MR imaging is comparable with endoanal ultrasonography in depicting anal sphincter defects [71]. However, in our opinion the use of endovaginal MR imaging or endovaginal ultrasonography is not recommendable as the distance between coil and endoprobe, respectively, is increased and the device is angulated to the axis of the anal canal.…”

Section: Mr Imagingmentioning

confidence: 73%

The current role of imaging techniques in faecal incontinence

Terra

Stoker

2006

Eur Radiol

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Faecal incontinence is a common multifactorial disorder. Major causes of faecal incontinence are related to vaginal delivery and prior anorectal surgery. In addition to medical history and physical examination, several anorectal functional tests and imaging techniques can be used to assess the underlying pathophysiology and to guide treatment planning in faecal incontinent patients. Anorectal functional tests provide functional information, but the potential strength comes from combining test results. Imaging techniques, including defecography, endoanal sonography, and magnetic resonance (MR) imaging, provide structural information about the anorectal region with a direct clinical impact. The major role of imaging techniques in faecal incontinence is visualising the structural and functional integrity of the anal sphincter complex. Both two-dimensional endoanal sonography and endoanal MR imaging are accurate tools to depict anal sphincter defects. The major advantage of endoanal MR imaging is the accurate demonstration of external anal sphincter atrophy. Recent studies have suggested that external phased array MR imaging and three-dimensional endoanal sonography are also valuable tools in the diagnostic work up of faecal incontinence. Decisions about the preferred technique will mainly be determined by availability and local expertise. This article demonstrates the current role of tests, predominantly imaging tests, in the diagnostic work up of faecal incontinence.

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Section: Mr Imagingmentioning

confidence: 73%

The current role of imaging techniques in faecal incontinence

Terra

Stoker

2006

Eur Radiol

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“…EAUS proved superior to endovaginal MR imaging in diagnosing defects of external anal sphincter but EAUS and endovaginal MR imaging were equivalent in diagnosing defects of internal anal sphincter 8 . Some Authors 9 reported that endoanal MR imaging was better than EAUS in the detection and charcterisation of anal sphincter defects. Stoker et al 10 suggest that dynamic MRI may be a valuable alternative as the pelvic floor muscles are visualised and both EAUS and endoanal MR imaging can be used for detection of anal sphincter defects.…”

Section: Methods Technique and Resultsmentioning

confidence: 99%

Endoanal ultrasonography in establishing the diagnosis of fecal incontinence

Šaranović¹,

Krivokapić

Mašulović

et al. 2007

ACTA CHIR IUG

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Visualisation of the rectum, rectoanal junction and adjacent structures is very demanding and challenging both with technical and medical side. Local staging of rectal and anal tumor and perianal neoplasm by conventional and sibgle slice CT or by barium enema study is not so valuable. These methods can not visualise fistulous communication in inflamatory bowel diseases and have not any role in evaluation of fecal incontinence. During last decade, endoscopic ultrasound and magnetic resonance imaging have been recognised as methods of choice in establishing diagnosis of rectal, perirectal, anal and perianal diseases. The aim of this article is to review the possibilities of endoanal ultrasound in evaluation of fecal incontinence.

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“…In experienced hands, endoanal ultrasound and endoanal MRI are equivalent for evaluating internal and external anal sphincter tears [55,56]. Advantages of ultrasound include greater availability, whereas advantages of MRI include better evaluation of external anal sphincter atrophy and pelvic floor musculature [57,58].…”

Section: Anal Incontinencementioning

confidence: 99%