Endosonography for assessment of anorectal changes in patients with fecal incontinence

Tankova, L; Draganov, V; Damyanov, Nikola D.

doi:10.1016/s0929-8266(00)00116-6

Cited by 7 publications

(5 citation statements)

References 15 publications

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“…Physiologically, the puborectalis muscle is responsible for maintenance of the anorectal angle19. Reported values of the angle vary, perhaps because of different study populations, the presence of feces in the rectum, or different imaging methods21–23. The echolucent strip between the puborectalis muscle and the external anal sphincter appeared to be consistent with the anococcygeal ligament seen in MRI studies24.…”

Section: Discussionmentioning

confidence: 91%

Three‐dimensional transperineal sonographic characteristics of the anal sphincter complex in nulliparous women

Huang

Yang

2007

Ultrasound in Obstet & Gyne

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Section: Discussionmentioning

confidence: 91%

Three‐dimensional transperineal sonographic characteristics of the anal sphincter complex in nulliparous women

Huang

Yang

2007

Ultrasound in Obstet & Gyne

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“…Tankova et al 11 showed that women with AI had a significantly larger anorectal angle than women without AI. In our data set, measurement of the PRM was not sufficiently reproducible to conclusively test the true relationship between Starck score, AI and the dimensions of the PRM.…”

Section: Discussionmentioning

confidence: 99%

“…Persistent AI subsequent to ASR occurs in 20 to 60% of cases6–19, whereas AI in general has a prevalence of 4%9–11. The mechanism of continence depends on multiple factors, but the puborectal muscle (PRM) is known to be important in keeping women continent11, 12. Some studies with long‐term follow‐up of women following delivery have found that only a small fraction of cases of incontinence are attributable to ASR13, 14.…”

Section: Introductionmentioning

confidence: 99%

Defects on endoanal ultrasound and anal incontinence after primary repair of fourth‐degree anal sphincter rupture: a study of the anal sphincter complex and puborectal muscle

Sakse

Ottesen

et al. 2009

Ultrasound in Obstet & Gyne

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“…The advantage is that the levator ani muscle (LAM) can be well represented with 3D transperineal ultrasound, and the scan is less invasive. An avulsion of the LAM may play a role in anal incontinence [26,27]. Little is known about the exact role of the LAM in anal incontinence after OASIs.…”

Section: Discussionmentioning

confidence: 99%

Parturition mode recommendation and symptoms of pelvic floor disorders after obstetric anal sphincter injuries

et al. 2020

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Introduction and hypothesis Our primary objective was to evaluate parturition mode (PM) recommendations following obstetric anal sphincter injuries (OASIs) and adherence to these recommendations and to evaluate recurrence of OASIs in women who had a subsequent vaginal delivery (VD). The hypothesis was that adherence to the PM recommendations leads to a reasonable OASI recurrence rate. Methods This was a retrospective observational cohort study of patients with previous OASIs between 2010 and 2016. After an outpatient visit including 3D transperineal ultrasound to screen for pelvic floor and anal sphincter injuries, all patients received recommendations for a subsequent PM. Patients were invited to complete validated questionnaires 2 to 5 years post-OASIs. Results The majority of invited patients (265/320) attended follow-up, with 264 receiving a recommendation for PM. Only 5.6% did not adhere to the received recommendation. One hundred sixty-one patients delivered again, 58% had a VD, and 42% had a cesarean section (CS). Recurrence of OASIs was observed in 4.3% of the patients that had a VD. Fecal incontinence occurred in 4.9%, however any form of anal incontinence in 48% of patients. While dyspareunia was common in patients with residual external anal sphincter (EAS) injuries and levator ani muscle (LAM) avulsions, anal pain occurred more frequently in EAS injuries and fecal incontinence in LAM avulsions. Conclusions This study showed that the vast majority of patients followed PM recommendations, and this resulted in a low recurrence of OASIs with a high CS rate. Fecal incontinence after OASIs was correlated with the degree of OASIs.

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Endosonography for assessment of anorectal changes in patients with fecal incontinence

Cited by 7 publications

References 15 publications

Three‐dimensional transperineal sonographic characteristics of the anal sphincter complex in nulliparous women

Three‐dimensional transperineal sonographic characteristics of the anal sphincter complex in nulliparous women

Defects on endoanal ultrasound and anal incontinence after primary repair of fourth‐degree anal sphincter rupture: a study of the anal sphincter complex and puborectal muscle

Parturition mode recommendation and symptoms of pelvic floor disorders after obstetric anal sphincter injuries

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