Levator avulsion using a tomographic ultrasound and magnetic resonance–based model

Zhuang, Rong R.; Song, Yan; Chen, Zi Q.; Ma, M.; Huang, Hui; Chen, Jin H.; Li, Yun M.

doi:10.1016/j.ajog.2011.03.052

Cited by 100 publications

(97 citation statements)

References 27 publications

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“…The qualitative diagnoses of levator avulsion and true rectocele showed very high agreement. Our findings confirm and reinforce previous testretest, intra-and interobserver studies using translabial ultrasound [5,6,8,9,19], which suggest that 3D/4D translabial ultrasound is a highly reliable method for the evaluation of pelvic organ prolapse and pelvic floor anatomy.…”

Section: Discussionsupporting

confidence: 80%

“…To date, a number of studies have demonstrated moderate to almost perfect repeatability for measurements of organ prolapse and pelvic floor anatomy using translabial 3D ultrasound [3][4][5][6][7][8][9]. However, these studies commonly focus on the repeatability of the offline analysis of stored volume data sets and of measurements obtained on the same day.…”

Section: Introductionmentioning

confidence: 99%

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The repeatability of sonographic measures of functional pelvic floor anatomy

et al. 2015

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

The repeatability of sonographic measures of functional pelvic floor anatomy

et al. 2015

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“…This method has been shown to be equivalent to levator assessment by magnetic resonance imaging. 22 We then tested potential predictors of recurrence as identified in the current literature (age, BMI, follow-up interval, previous surgery, avulsion and ballooning), against subjective and objective recurrence using logistic regression modelling techniques. P < 0.05 was considered statistically significant.…”

Section: Methodsmentioning

confidence: 99%

The use of 3‐dimensional ultrasound of the pelvic floor to predict recurrence risk after pelvic reconstructive surgery

Rodrigo

Wong

Shek

et al. 2014

Aust NZ J Obst Gynaeco

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Aims: Female pelvic organ prolapse is a common condition. Prolapse recurrence following surgical treatment is a significant clinical issue. The aim of this study was to determine risk factors for recurrence, attempting to improve clinical practice by allowing better patient selection prior to surgery. Methods: This was a retrospective study utilising patient records and ultrasound volume imaging data sets obtained in four clinical audits following anterior colporrhaphy AE mesh. Prolapse recurrence was diagnosed clinically and by ultrasound; findings were analysed against potential predictors. Results: Symptomatic prolapse recurrence was demonstrated in 86 (26%), on clinical examination in 141 (42%) and on ultrasound in 113/334 women (34%). None of the tested predictors were predictive of recurrent symptoms, likely due to a lack of power. However, both levator avulsion and hiatal area on Valsalva were shown to be highly significant predictors of objective prolapse recurrence on clinical examination and ultrasound. Conclusions: Prolapse recurrence following surgery is a common complaint. The state of the patient's pelvic floor muscle seems to be the strongest determinant.

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“…Avulsion is best diagnosed by tomographic translabial imaging, a method that is now well standardised, 60 commonly available on standard ultrasound systems and at least equivalent to diagnosis by magnetic resonance imaging 61 . The assessment of hiatal dimensions is similarly well standardised and validated, with both single plane measurements 57 and area determination in rendered volumes 62 similarly useful.…”

Section: Methodsmentioning

confidence: 99%

Imaging of slings and meshes

Shek

Dietz

2014

Australas J Ultrason Med

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The popularity of imaging in pelvic floor medicine continues to increase. Among the various modalities, ultrasound is superior as it is cheap, safe, easily accesible and simple, resulting in high patient compliance. It is the only technique that allows imaging of modern wide‐weave polypropylene sling or mesh implants, and imaging of such implants is commonly required due to the popularity of surgical techniques that involve the placement of slings and meshes. This review article will discuss the role of translabial ultrasound in the evaluation of synthetic implants used in the treatment of urinary incontinence and pelvic organ prolapse.

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Levator avulsion using a tomographic ultrasound and magnetic resonance–based model

Cited by 100 publications

References 27 publications

The repeatability of sonographic measures of functional pelvic floor anatomy

The repeatability of sonographic measures of functional pelvic floor anatomy

The use of 3‐dimensional ultrasound of the pelvic floor to predict recurrence risk after pelvic reconstructive surgery

Imaging of slings and meshes

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