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World Journal of Urology

Erschienen in:

01.10.2011 | Topic Paper

Pelvic floor disorders: role of new ultrasonographic techniques

verfasst von: A. P. Wieczorek, A. Stankiewicz, G. A. Santoro, M. M. Woźniak, M. Bogusiewicz, T. Rechberger

Erschienen in: World Journal of Urology | Ausgabe 5/2011

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Abstract

The paper presents the role of various ultrasound modalities in the diagnostics of female pelvic floor disorders (PFD). It describes the use of two/three/four-dimensional transperineal ultrasound and endocavitary transducers, which, up to now, have been used for proctological examinations and prostate cancer brachytherapy. Ultrasonography is the most widely available imaging modality. As a result of technical progress, novel transducers and more sophisticated software have recently been introduced to the market providing more information about the anatomy of pelvic organs. Some features of these transducers, such as higher frequency and multiplanar imaging, enable better visualisation of pelvic floor organs. In-depth knowledge of the technical and physical properties of modern ultrasonography, as well as its advantages and limitations, could provide an integrated approach to imaging of PFD. Technical modalities, the wide availability of ultrasonographic techniques, and an understanding of the imaging possible with modern ultrasonography could improve our understanding of PFD and allow better assessment in pre- and post-surgical management.

Kruger JA, Heap SW, Murphy BA, Dietz HP (2010) How best to measure the levator hiatus: evidence for the non-Euclidean nature of the ‘plane of minimal dimensions’. Ultrasound Obstet Gynecol 36(6):755–758. doi:10.1002/uog.7750 PubMedCrossRef

Gregory WT, Nardos R, Worstell T, Thurmond A (2011) Measuring the levator hiatus with axial MRI sequences: adjusting the angle of acquisition. Neurourol Urodyn 30(1):113–116PubMedCrossRef

Petros P, Swash M (2010) The integral theory: a musculo-elastic theory of pelvic floor function and dysfunction. In: Santoro GA, Wieczorek AP, Bartram C (eds) Pelvic floor disorders imaging and a multidisciplinary approach to management. Springer, Berlin

Groenendijk AG, Birnie E, de Blok S, Adriaanse AH, Ankum WM, Roovers JP, Bonsel GJ (2009) Clinical-decision taking in primary pelvic organ prolapse; the effects of diagnostic tests on treatment selection in comparison with a consensus meeting. Int Urogynecol J Pelvic Floor Dysfunct 20(6):711–719PubMedCrossRef

DeLancey JO (2005) The hidden epidemic of pelvic floor dysfunction: achievable goals for improved prevention and treatment. Am J Obstet Gynecol 192:1488–1495PubMedCrossRef

Maglinte DD, Kelvin FM, Fitzgerald K, Hale DS, Benson JT (1999) Association of compartment defects in pelvic floor dysfunction. AJR Am J Roentgenol 172(2):439–444PubMed

Haylen BT, de Ridder D, Freeman RM et al (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 21:5–26PubMedCrossRef

Wieczorek AP, Stankiewicz A, Woźniak MM (2010) Ultrasonography. In: Santoro GA, Wieczorek AP, Bartram C (eds) Pelvic floor disorders imaging and a multidisciplinary approach to management. Springer, Dordrecht, pp 175–187

Dietz HP (2004) Ultrasound imaging of the pelvic floor. Part I:two-dimensional aspects. Ultrasound Obstet Gynecol 23:80–92PubMedCrossRef

10.

Tunn R, Schaer G, Peschers U et al (2005) Updated recommendations on ultrasonography in urogynecology. Int Urogynecol J Pelvic Floor Dysfunct 16:236–241PubMedCrossRef

11.

Pregazzi R, Sartore A, Bortoli P, Grimaldi E, Troiano L, Guaschino S (2002) Perineal ultrasound evaluation of urethral angle and bladder neck mobility in women with stress urinary incontinence. BJOG 109(7):821–827PubMedCrossRef

12.

Constantinou CE (2009) Dynamics of female pelvic floor function using urodynamics, ultrasound and Magnetic Resonance Imaging (MRI). Eur J Obstet Gynecol Reprod Biol 144(Suppl 1):S159–S165PubMedCrossRef

13.

Dietz HP (2010) Pelvic floor ultrasound: a review. Am J Obstet Gynecol 202(4):321–334PubMedCrossRef

14.

Broekhuis SR, Kluivers KB, Hendriks JC et al (2009) POP-Q, dynamic MR imaging, and perineal ultrasonography: do they agree in the quantification of female pelvic organ prolapse? Int Urogynecol J 20:541–549

15.

Perniola G, Shek C, Chong CCW et al (2008) Defecation proctography and translabial ultrasound in the investigation of defecatory disorders. Ultrasound Obstet Gynecol 31:567–571PubMedCrossRef

16.

Di Pietto L, Scaffa C, Lambiase A, Torella M, Sciorio C, Dato E, Nocerino A, Di Petrillo ML, Fusco R, Rotondi M, Messalli EM, Colacurci N (2010) Perineal ultrasound evaluation of urethral mobility after the TVT-O procedure. Clin Exp Obstet Gynecol 37(2):131–134PubMed

17.

Majida M, Braekken IH, Umek W, Bø K, Saltyte Benth J, Ellstrøm Engh M (2009) Interobserver repeatability of three- and four-dimensional transperineal ultrasound assessment of pelvic floor muscle anatomy and function. Ultrasound Obstet Gynecol 33(5):567–573PubMedCrossRef

18.

Weinstein MM, Jung SA, Pretorius DH, Nager CW, den Boer DJ, Mittal RK (2007) The reliability of puborectalis muscle measurements with 3-dimensional ultrasound imaging. Am J Obstet Gynecol 197(1):68.e1–68.e6CrossRef

19.

Dietz HP (2010) Pelvic organ prolapse—translabial ultrasonography. In: Santoro GA, Wieczorek AP, Bartram C (eds) Pelvic floor disorders imaging and a multidisciplinary approach to management. Aut. Springer, Berlin

20.

Majida M, Braekken IH, Bø K, Benth JS, Engh ME (2010) Validation of three-dimensional perineal ultrasound and magnetic resonance imaging measurements of the pubovisceral muscle at rest. Ultrasound Obstet Gynecol 35(6):715–722PubMed

21.

Falkert A, Endress E, Weigl M, Seelbach-Göbel B (2010) Three-dimensional ultrasound of the pelvic floor 2 days after first delivery: influence of constitutional and obstetric factors. Ultrasound Obstet Gynecol 35(5):583–588PubMedCrossRef

22.

Dietz HP, Bernardo MJ, Kirby A, Shek KL (2010) Minimal criteria for the diagnosis of avulsion of the puborectalis muscle by tomographic ultrasound. Int Urogynecol J Pelvic Floor Dysfunct. Nov 24 [Epub ahead of print]

23.

Dietz HP, Barry C, Lim YN, Rane A (2005) Two-dimensional and three-dimensional ultrasound imaging of suburethral slings. Ultrasound Obstet Gynecol 26:175–179PubMedCrossRef

24.

Braekken IH, Majida M, Engh ME, Bø K (2010) Morphological changes after pelvic floor muscle training measured by 3-dimensional ultrasonography: a randomized controlled trial. Obstet Gynecol 115(2 Pt 1):317–324PubMedCrossRef

25.

Santoro GA, Wieczorek AP, Dietz HP, Mellgren A, Sultan AH, Shobeiri SA, Stankiewicz A, Bartram C (2010) State of the art: an integrated approach to pelvic floor ultrasonography. Ultrasound Obstet Gynecol. 2010 Sep 2 [Epub ahead of print]

26.

Santoro GA, Fortling B (2007) The advantages of volume rendering in three-dimensional endosonography of the anorectum. Dis Colon Rectum 50(3):359–368PubMedCrossRef

27.

Santoro GA, Wieczorek AP, Stankiewicz A, Woźniak MM, Bogusiewicz M, Rechberger T (2009) High-resolution three-dimensional endovaginal ultrasonography in the assessment of pelvic floor anatomy: a preliminary study. Int Urogynecol J Pelvic Floor Dysfunct 20(10):1213–1222PubMedCrossRef

28.

Shobeiri SA, Leclaire E, Nihira MA, Quiroz LH, O’Donoghue D (2009) Appearance of the levator ani muscle subdivisions in endovaginal three-dimensional ultrasonography. Obstet Gynecol 114(1):66–72PubMed

29.

Wieczorek AP, Wozniak MM, Stankiewicz A, Santoro GA, Bogusiewicz M, Rechberger T (2010) 3-D high-frequency endovaginal ultrasound of female urethral complex and assessment of inter-observer reliability. Eur J Radiol. Oct 20. [Epub ahead of print]

30.

Santoro GA, Wieczorek AP, Shobeiri SA, Mueller ER, Pilat J, Stankiewicz A, Battistella G (2011) Interobserver and interdisciplinary reproducibility of 3D endovaginal ultrasound assessment of pelvic floor anatomy. Int Urogynecol J Pelvic Floor Dysfunct 22(1):53–59CrossRef

31.

Ashton-Miller JA, De Lancey JO (2007) Functional anatomy of the female pelvic floor. Ann N Y Acad Sci 1101:266–296PubMedCrossRef

32.

Wieczorek AP, Woźniak MM, Stankiewicz A, Bogusiewicz M, Santoro GA, Rechberger T, Scholbach J (2009) The assessment of normal female urethral vascularity with Color Doppler endovaginal ultrasonography: preliminary report. Pelviperineology 28(1):59–61

33.

Stankiewicz A, Wieczorek AP, Woźniak MM, Bogusiewicz M, Futyma K, Santoro GA, Rechberger T (2008) Comparison of accuracy of functional measurements of the urethra in transperineal vs. endovaginal ultrasound in incontinent women. Pelviperineology 27(4):145–147

34.

Santoro GA, Wieczorek AP, Wozniak MM, Stankiewicz A (2010) Endoluminal ultrasonography. In: Santoro GA, Wieczorek AP, Bartram C (eds) Pelvic floor disorders imaging and a multidisciplinary approach to management. Springer, Berlin

35.

Haderer JM, Pannu HK, Genadry R, Hutchins GM (2002) Controversies in female urethral anatomy and their significance for understanding urinary continence: observations and literature review. Int Urogynecol J Pelvic Floor Dysfunct 13(4):236–252PubMedCrossRef

36.

Siracusano S, Bertolotto M, Silvestre G, d’Aloia G, Pecorari V, Stener S, Quaia E, Baschiera P, Knez R (2002) The feasibility of urethral color ultrasound imaging in the diagnosis of female intrinsic sphincter deficiency: preliminary results. Spinal Cord 40(4):192–195PubMedCrossRef

37.

Steward JE, Clemons JD, Zaszczurynski PJ, Butler RS, Damaser MS, Jiang HH (2010) Quantitative evaluation of electrodes for external urethral sphincter electromyography during bladder-to-urethral guarding reflex. World J Urol 28(3):365–371PubMedCrossRef

Titel: Pelvic floor disorders: role of new ultrasonographic techniques
verfasst von: A. P. Wieczorek
A. Stankiewicz
G. A. Santoro
M. M. Woźniak
M. Bogusiewicz
T. Rechberger
Publikationsdatum: 01.10.2011
Verlag: Springer-Verlag
Erschienen in: World Journal of Urology / Ausgabe 5/2011
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-011-0708-x

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