Use of 3D Ultrasound as a New approach to Assess Obstetrical Trauma to the Pelvic Floor

Wisser, Josef; Schär, G.; Kurmanavičius, Juozas; Huch, R.; Huch, A.

doi:10.1055/s-1999-14226

Cited by 44 publications

(31 citation statements)

References 7 publications

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“…Perineal ultrasound has an advantage over many of these as the entire lower urogenitary tract, including the pelvic floor, can be assessed dynamically during muscular contraction 4 -6 . Mobility of the urethrovesical junction can be assessed by measuring angular or linear parameters 7,8 , at rest and then while performing the Valsalva maneuver or while the patient coughs 9,10 . Furthermore, the anorectal angle and the puborectal muscles can be examined during contraction of the levator ani muscle 11 .…”

Section: Introductionmentioning

confidence: 99%

Ultrasound imaging of the female perineum: the effect of vaginal delivery on pelvic floor dynamics

Costantini

Esposito

Nadalini

et al. 2006

Ultrasound Obstet Gynecol

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Section: Introductionmentioning

confidence: 99%

Ultrasound imaging of the female perineum: the effect of vaginal delivery on pelvic floor dynamics

Costantini

Esposito

Nadalini

et al. 2006

Ultrasound Obstet Gynecol

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“…However, this is one of many, indirect measures of the function of one part of the pelvic floor muscles. Three-dimensional ultrasound has recently been introduced as a method to study the complex anatomy of the pelvic floor [17,18] and may be a method that can give new information concerning the role of the pelvic floor muscles. We have found only one study where pelvic floor muscle volume (thickness) has been measured directly and related to continence status [19].…”

Section: Introductionmentioning

confidence: 99%

Pelvic floor muscle strength and thickness in continent and incontinent nulliparous pregnant women

et al. 2004

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The aim of the study was to measure pelvic floor muscle function in continent and incontinent nulliparous pregnant women. The study group consisted of 103 nulliparous pregnant women at 20 weeks of pregnancy. Women reporting urinary incontinence once per week or more during the previous month were classified as incontinent. Function was measured by vaginal squeeze pressure (muscle strength) and increment in thickness of the superficial pelvic floor muscles (urogenital diaphragm) assessed by perineal ultrasound. Seventy-one women were classified as continent and 32 women as incontinent. Continent women had statistically significantly higher maximal vaginal squeeze pressure and increment in muscle thickness when compared with incontinent women. There was a strong correlation between measurements of vaginal squeeze pressure and perineal ultrasound measurements of increment in muscle thickness. This study demonstrates statistically significant differences in pelvic floor muscle function measured by strength and thickness in continent compared with incontinent nulliparous pregnant women.

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“…Transperineal ultrasounds allow to assess the mobility of the urethra by measuring angular or linear parameters [8,9], at rest at first and then while performing Valsalva's manoeuvre or while making the patient cough [10,11].…”

Section: Introductionmentioning

confidence: 99%

Perineal ultrasound evaluation of the urethrovesical junction angle and urethral mobility in nulliparous women and women following vaginal delivery

et al. 2005

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The objective of this study was to demonstrate the differences in the urethrovesical junction angle and urethral mobility by means of perineal ultrasounds in women following vaginal delivery with respect to nulliparous women. We have enrolled 34 women, 12 nulliparous (Group A) and 22 women in the post-partum period (Group B). The ultrasounds were employed to measure the urethrovesical junction angle ("urethro-pelvic" angle) and the urethral mobility. Data obtained show that the urethro-pelvic angle is narrower in Group A (97.3 degrees) with respect to Group B (112.5 degrees). Urethral mobility while coughing was significantly higher in Group B (30.4 degrees) with respect to Group A (-2 degrees). This study demonstrates the difference in the urethral support at rest and during cough in nulliparous versus recently delivered parous women.

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Use of 3D Ultrasound as a New approach to Assess Obstetrical Trauma to the Pelvic Floor

Abstract: Whereas in the past, defects of the vaginal attachment to the pelvic side wall could not be examined sonographically, 3D ultrasound can now be used to examine pelvic floor anatomy and to detect changes associated with trauma to the pelvic floor following vaginal delivery.

Cited by 44 publications

References 7 publications

Ultrasound imaging of the female perineum: the effect of vaginal delivery on pelvic floor dynamics

Ultrasound imaging of the female perineum: the effect of vaginal delivery on pelvic floor dynamics

Pelvic floor muscle strength and thickness in continent and incontinent nulliparous pregnant women

Perineal ultrasound evaluation of the urethrovesical junction angle and urethral mobility in nulliparous women and women following vaginal delivery

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