Transperineal versus hydrogen peroxide-enhanced endoanal ultrasonography in never operated and recurrent cryptogenic fistula-in-ano: a pilot study

Zbar, A. P.; Oyetunji, R. O.; Gill, Robert J.

doi:10.1007/s10151-006-0296-8

Cited by 24 publications

(21 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Abscesses are larger oval hypoecogenic structures, most often associated with a fistulous tract (Figure 4). TPUS has a 90% to 95% sensitivity for the identification of the internal orifice [27,29,30] , which is suggested by a hypoechoic image at the subepithelial or intersphincteric space with inter nal sphincter disruption.…”

Section: Major Applications In Gastroenterologymentioning

confidence: 99%

Current applications of transperineal ultrasound in gastroenterology

Albuquerque¹,

Pereira²

2016

WJR

View full text Add to dashboard Cite

Transperineal ultrasound is an inexpensive, safe and painless technique that dynamically and noninvasively evaluates the anorectal area. It has multiple indications, mainly in urology, gynaecology, surgery and gastroenterology, with increased use in the last decade. It is performed with conventional probes, positioned directly above the anus, and may capture images of the anal canal, rectum, puborectalis muscle (posterior compartment), vagina, uterus, (central compartment), urethra and urinary bladder (anterior compartment). Evacuatory disorders and pelvic floor dysfunction, like rectoceles, enteroceles, rectoanal intussusception, pelvic floor dyssynergy can be diagnosed using this technique. It makes a dynamic evaluation of the interaction between pelvic viscera and pelvic floor musculature, with images obtained at rest, straining and sustained squeezing. This technique is an accurate examination for detecting, classifying and following of perianal inflammatory disease. It can also be used to sonographically guide drainage of deep pelvic abscesses, mainly in patients who cannot undergo conventional drainage. Transperineal ultrasound correctly evaluates sphincters in patients with fecal incontinence, postpartum and also following surgical repair of obstetric tears. There are also some studies referring to its role in anal stenosis, for the measurement of the anal cushions in haemorrhoids and in chronic anal pain. structures interaction during defecation stimulation manoeuvres, as well as the identification, classification, and follow-up in inflammatory perianal disease, and it can also identify sphincter injury in fecal incontinence. In this review the technique is described and the current evidence that supports its use in several areas is also discussed.Albuquerque A, Pereira E. Current applications of transperineal ultrasound in gastroenterology.

show abstract

Section: Major Applications In Gastroenterologymentioning

confidence: 99%

Current applications of transperineal ultrasound in gastroenterology

Albuquerque¹,

Pereira²

2016

WJR

View full text Add to dashboard Cite

show abstract

“…Einzelne Autoren sehen eine Alternative zur endoanalen Ultraschalluntersuchung in der transperinealen Ultraschalluntersuchung, die jedoch mit einer erheblichenLernkurve verbundenist [495]. Kleinübing et al [211] sehen diese gegenüber der klinischen Untersuchung als überlegen an und finden keinen Vorteil füreine gleichzeitige Wasserstoffperoxidinstillation.…”

Section: Epidemiologieunclassified

S3 guidelines: cryptoglandular anal fistulas

Ommer¹,

Herold²,

Berg

et al. 2016

coloproctology

View full text Add to dashboard Cite

“…Einzelne Autoren sehen eine Alternative zur endoanalen Ultraschalluntersuchung in der transperinealen Ultraschalluntersuchung, die jedoch mit einer erheblichen Lernkurve verbunden ist [314]. Kleinübing et al [142] sehen diese gegenüber der klinischen Untersuchung als überlegen an und fanden keinen Vorteil für eine gleichzeitige WasserstoffperoxidInstillation.…”

Section: Weiterführende Diagnostikunclassified