Ultrasound imaging of paravaginal defects in women with stress incontinence before and after paravaginal defect repair

Martan, A; Mašata, Jaromír; Halaska, M; Otčenášek, M; Švabík, Kamil

doi:10.1046/j.1469-0705.2002.00686.x

Cited by 22 publications

(13 citation statements)

References 16 publications

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“…They measured the angle between the BN and the central line of the symphysis (gamma angle) and found signi¢cant di¡erences in BN position and mobility at rest before (mean 81.85 , range 55^120) and after surgical intervention (mean 62.05 , range 45^76). The same results were found by transabdominal and introital approach [Martan et al, 2002].…”

Section: Standardizationsupporting

confidence: 88%

Role of perineal ultrasound in the evaluation of urinary stress incontinence and pelvic organ prolapse: A systematic review

Dalpiaz

Curti

2006

Neurourology and Urodynamics

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Section: Standardizationsupporting

confidence: 88%

Role of perineal ultrasound in the evaluation of urinary stress incontinence and pelvic organ prolapse: A systematic review

Dalpiaz

Curti

2006

Neurourology and Urodynamics

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“…There is good sonographic visualization of descent of the anterior vaginal wall with cystocele formation. Different abnormalities such as paravaginal defects are demonstrated by abdominal ultrasound [20,21]. However, there are as yet little data and the clinical significance of these ultrasound findings remains to be determined.…”

Section: Clinical Applicationmentioning

confidence: 99%

Updated recommendations on ultrasonography in urogynecology

Tunn¹,

Schaer²,

Peschers

et al. 2004

Int Urogynecol J

134

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Ultrasound is a supplementary, indispensable diagnostic procedure in urogynecology; perineal, introital, and endoanal ultrasound are the most recommended techniques. The position and mobility of the bladder neck can be demonstrated. In patients undergoing diagnostic work-up for urge symptoms, ultrasound occasionally demonstrates urethral diverticula, leiomyomas, and cysts in the vaginal wall. These findings will lead to further diagnostic assessment. The same applies to the demonstration of bladder diverticula, foreign bodies in the bladder, and bullous edema. With endoanal ultrasound, different parts of the sphincter ani muscle can be evaluated. Recommendations for the standardized use of urogenital ultrasound are given.

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“…Assessment In addition to its ability to provide information about pelvic floor muscle (levator ani) function through the analysis of bladder neck and bladder base motion, ultrasound imaging has been used to quantify the thickness of the levator ani, 7,52 measure residual bladder volume, 34 investigate uterovaginal prolapse 20,64 and new surgical procedures, 25,91 as well as detect paravaginal defects 48,55 and space-occupying lesions (cysts, fibroids). Applications related to quantification of the thickness of the levator ani or residual bladder volumes have a direct relevance to physical therapists.…”

Section: Muscle Morphology and Structuralmentioning

confidence: 99%

Rehabilitative Ultrasound Imaging of Pelvic Floor Muscle Function

Whittaker¹,

Thompson²,

Teyhen³

et al. 2007

J Orthop Sports Phys Ther

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found that 78% of women with LBP report concurrent UI. As such, there is a need for physical therapists to have access to tools that accurately evaluate the various aspects of pelvic floor muscle function (elevating and occlusion functions, as well as neuromuscular control, strength, and endurance) both in laboratory and clinical environments.Ultrasound imaging is a potential tool that has been used to evaluate the morphology 7,52 and certain components of the function 24,27,67,81,82,86 of these muscles. Specifically, ultrasound imaging has been shown to be more specific than intravaginal palpation for measurement of the lifting action of the pelvic floor muscles on the bladder neck 31 and base, 20,31 and it provides information about the supporting function of the pelvic floor muscles during various maneuvers. 20,57,85 As the use of rehabilitative ultrasound imaging for assessment of pelvic floor muscles function is a relatively new procedure, the goal of this commentary i t is well accepted that the pelvic floor muscles, specifically the levator ani, provide an important contribution to the continence mechanism.17 is to provide an understanding of current applications, the available quantitative and qualitative information, the associated limitations, and to show how rehabilitative ultrasound imaging can be incorporated as a form of biofeedback during rehabilitation. Furthermore, as the compilation and comparison of data depends on consistency of measurement techniques, this commentary highlights considerations for measurement accuracy and interpretation and provides generic guidelines for future investigation based upon international consensus. 80QuantitatiVe eVaLuation u ltrasound imaging has been used to measure the morphology 7,52 of the pelvic floor muscles. It has also been used to measure the impact of pelvic floor muscle contraction or increase in intra-abdominal pressure (straining, cough, sneeze, or leg-raising task) on the bladder from a variety of approaches (transperineal and transabdominal; Figure 1), planes (sagittal and transverse), and positions. 6,22,27,57,61,67,76,83,84,96 The transperineal approach (placement of the ultrasound transducer in a sagittal plane along the midline of the perineum) is considered advantageous to the transabdominal approach, as both the pubic symphysis and the proximal junction of the bladder neck and urethra are included within the field of view and can serve

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Ultrasound imaging of paravaginal defects in women with stress incontinence before and after paravaginal defect repair

Abstract: Objective

Cited by 22 publications

References 16 publications

Role of perineal ultrasound in the evaluation of urinary stress incontinence and pelvic organ prolapse: A systematic review

Role of perineal ultrasound in the evaluation of urinary stress incontinence and pelvic organ prolapse: A systematic review

Updated recommendations on ultrasonography in urogynecology

Rehabilitative Ultrasound Imaging of Pelvic Floor Muscle Function

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