Role of three-dimensional endoanal ultrasound in assessing the anal sphincter morphology of female patients with chronic proctalgia

Xue, Ya-Hong; Ding, Shuqing; Ding, Yue; Pan, Lizhen

doi:10.3748/wjg.v23.i21.3900

Cited by 10 publications

(3 citation statements)

References 27 publications

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“…Our results indicated that biofeedback therapy had better efficacy than acupuncture in patients with pelvic floor dyssynergia, suggesting that this pain may be attributed to the uncoordinated movement of puborectalis muscle. 21 Like biofeedback, acupuncture treatment relieved the pain of patients with FAP and also significantly improved the mental health of these patients. In agreement, a previous study showed that acupuncture at Ganshu (BL18) had analgesic effects due to its influence on the expression of brain-gut peptide substance P (SP), which affects mental states such as depression.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture Versus Biofeedback for Treatment of Functional Anorectal Pain

Xue,

Ding,

Zhou

et al. 2024

Turkish Journal of Gastroenterology

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Background/Aims: Functional anorectal pain is one of several types of functional anorectal disorders. In this study, we compared the effectiveness of acupuncture (intervention) and biofeedback (control) as treatment for patients with functional anorectal pain. Materials and Methods: This prospective, single-center, randomized, and comparative study examined 68 patients with functional anorectal pain who were recruited from June 2017 to January 2019 at the Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine. Patients were randomly assigned to receive acupuncture or biofeedback. Patients in the acupuncture group received acupuncture at Zhongliao (BL33), Xialiao (BL34), Ganshu (BL18), Shenshu (BL23), and Dachangshu (BL25). Patients in the biofeedback group received pelvic floor biofeedback therapy, consisting of Kegel pelvic floor muscle training and electrical stimulation. Patients in both groups received 20 treatments over 4 weeks. The primary outcome was pain score on a visual analog scale, and the secondary outcomes were results from the MOS 36-item short-form health survey (SF-36) quality of life questionnaire, the self-rating depression scale, and the self-rating anxiety scale. Results: Visual analog scale pain scores significantly decreased in both of the groups with treatment (both P < .01). The final visual analog scale score was significantly lower in patients with pelvic floor dyssynergia who were treated with biofeedback (1.40 ± 0.97 vs. 5.30 ± 1.70) ( P < .05). The 2 groups had similar decreases in self-rating depression scale and self-rating anxiety scale scores. Intriguingly, the acupuncture group had better mental health outcomes ( P < .05). Conclusion: Both acupuncture and biofeedback therapy reduced the pain of patients with functional anorectal pain. Biofeedback provided more relief in patients with pelvic floor dyssynergia, and acupuncture provided greater improvements in mental health status.

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Section: Discussionmentioning

confidence: 99%

Acupuncture Versus Biofeedback for Treatment of Functional Anorectal Pain

Xue,

Ding,

Zhou

et al. 2024

Turkish Journal of Gastroenterology

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“…[10-14] . Xue et al [15] used EDF to study functional anal pain. It was found that abnormal contraction and hypertrophy of puborectalis muscles were the main causes of functional anal pain.…”

Section: Discussionmentioning

confidence: 99%

A New Dynamic Echodefecography (EDF) Established by Using BK Ultrasound 8838 Transducer and its Testing Results Comparison with X-ray Defecography

Jin

Zhang

2020

Preprint

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Objective: To describe a new dynamic echodefecography(EDF) using BK ultrasound 8838 transducer and compare its testing results with X-ray defecography. Method: The BK 8838 ultrasound probe is used to evaluate the static 3D scan, dynamic 3D scan and dynamic 2D scan of pelvic floor and compare its testing results with X-ray defecography and defined its value to evaluate the pelvic floor disease. Results: Fifty-seven patients were studied (24 male and 33 female). Forty seven patients were diagnosed as anismus by EDF and 46 patients were diagnosed as anismus by X-ray defecography. Sixteen patients were diagnosed as rectocele by X-ray defecography , among which eight were classified as mild (6-15mm), 4 as moderate (16-30mm) and 4 as severe (over 30mm). Fourteen patients with constipation and 2 patients with anal pain were diagnosed as intussusception by EDF, but only 3 patients were diagnosed as intussusception by X-ray defecography. Two patients with constipation were diagnosed as perineal descent by EDF and none by X-ray defecography. Two patients were diagnosed as enterocele by EDF as well as X-ray defecography. Conclusion: The EDF established by BK 8838 ultrasound probe can show clear anatomy and real time movement of pelvic floor muscle. The EDF is more sensitive to the diagnosis of intussusception, perineal descent(PD) and anal spincter defect than X-ray defecograpgy. For anismus,rectocele and enterocele,the diagnosis results are comparable between EDF and X ray defecography. Further study is needed to determine its clinical values to evaluate the pelvic disease .

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“…Nuestro trabajo proporciona una colección iconográfica de imágenes seccionales de cadáver, resonancia magnética y ecografía de gran calidad, pudiendo aplicarse a distintas funciones como instruir a los estudiantes en la interpretación de imágenes Es una característica importante de nuestro desarrollo informático la posibilidad de correlacionar dos técnicas de imagen tan importantes en el estudio de la pelvis, especialmente la femenina, como son la RM y la ecografía, ya que son totalmente distintas en cuanto a su obtención y especialmente en su interpretación. Ambos estudios de imagen son fundamentales para el diagnóstico de múltiples patologías pélvicas, así como para la planificación de su tratamiento, como se aprecia en los trabajos de numerosos autores (Chan y Tse, 2018;Graupera et al, 2018;Kaniewska et al, 2018;Kim et al, 2018;Vellucci et al, 2018;Dietz, 2017;Murad-Regadas et al, 2017;Ram et al, 2017;Salsi et al, 2017;Wlaźlak et al, 2017;Xuang et al, 2017;Xue et al, 2017;Peng et al, 2016;Terracciano et al, 2016;Thibault-Gagnon et al, 2016;Portilla et al, 2015;Van Delft et al, 2015;Youssef et al, 2015;Bitti et al, 2014;Dietz, 2014;García del Salto et al, 2014;Hennemann et al, 2014;Morin et al,2014;Murad-Regadas et al, 2014;Nardos et al, 2014;Rostaminia et al, 2014a;Rostaminia et al, 2014b;Dietz et al, 2012), siendo su uso muchas veces conjunto (Chamié et al,2018;Javadian et al, 2017;Vergeldt et al, 2016;Notten et al, 2014). La mayoría de los estudiantes se sienten intimidados la primera vez...…”

Section: Bones3dandhl=es_419)unclassified

Entornos tecnológicos de visión anatomo-radiológica en 3D para el estudio de estructuras pélvicas

Romero¹

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Role of three-dimensional endoanal ultrasound in assessing the anal sphincter morphology of female patients with chronic proctalgia

Cited by 10 publications

References 27 publications

Acupuncture Versus Biofeedback for Treatment of Functional Anorectal Pain

Acupuncture Versus Biofeedback for Treatment of Functional Anorectal Pain

A New Dynamic Echodefecography (EDF) Established by Using BK Ultrasound 8838 Transducer and its Testing Results Comparison with X-ray Defecography

Entornos tecnológicos de visión anatomo-radiológica en 3D para el estudio de estructuras pélvicas

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