scholarly journals Does 4D transperineal ultrasound have additional value over 2D transperineal ultrasound for diagnosing posterior pelvic floor disorders in women with obstructed defecation syndrome?

2018 ◽  
Vol 52 (6) ◽  
pp. 784-791 ◽  
Author(s):  
I. M. A. van Gruting ◽  
K. Kluivers ◽  
A. H. Sultan ◽  
R. De Bin ◽  
A. Stankiewicz ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Disorders ◽  
Obstructed Defecation ◽  
Transperineal Ultrasound ◽  
Obstructed Defecation Syndrome ◽  
Additional Value

Dynamic Transperineal Ultrasound in the Diagnosis of Pelvic Floor Disorders

2002 ◽  
Vol 45 (2) ◽  
pp. 239-248 ◽  
Author(s):  
Marc Beer-Gabel ◽  
Mark Teshler ◽  
Naphtali Barzilai ◽  
Yoav Lurie ◽  
Stephen Malnick ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Disorders ◽  
Transperineal Ultrasound

Comparison of pre and post-operative ODS (Obstructed Defecation Syndrome) score in patient with ODS undergoing Stapled Transanal Rectal Resection (STARR)

2020 ◽  
Vol 23 (2) ◽  
pp. 67-70
Author(s):  
Md Touhidul Islam ◽  
Shahadat Hossain Sheikh ◽  
Md Abu Taher ◽  
Tariq Akhter Khan ◽  
Md Ahsan Habib ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Rectal Resection ◽  
Obstructed Defecation ◽  
Surgical Approaches ◽  
Rectal Intussusception ◽  
Complication Rates ◽  
Stapled Transanal Rectal Resection ◽  
Obstructed Defecation Syndrome ◽  
Quasi Experimental ◽  
Surgery Department

Background: There are a variety of surgical approaches for correction of ODS, most of these have high recurrence and complication rates. Stapled transanal rectal resection (STARR) was introduced in 2003 by Antonio Longo as a minimally invasive transanal operation for ODS associated with rectocele and or rectal intussusception. Objective: This study was designed to assess the efficacy of Stapled Transanal Rectal Resection (STARR) as a surgical treatment of Obstructed Defecation Syndrome(ODS). Methodology: This is a quasi experimental study that was carried out at Colorectal surgery unit of surgery department in Bangabandhu Sheikh Mujib Medical University. The sample size was 17. The admitted patient of Obstructed Defecation Syndrome with Rectocele and or Rectal intussusception was selected according to inclusion and exclusion criteria. The patient was evaluated by history, clinical examination, proctoscopy, colonoscopy and defecography. Preoperative Longo’s ODS score was determined for each patient and it was compared with postoperative ODS score. Regular follow up was done for each patient at one, three and six months after each operation. Results: Significant improvement of ODS score was observed in 82.35% patients. Only 02 (11.8%) patients didn’t respond to STARR procedure and their postoperative score was 13-15 may be due to coexistence of pelvic floor dysynergy. Postoperative defecatory urgency developed only in 02(11.76%) patients. No patient developed significant postoperative complication like hemorrhage or rectovaginal fistula. Conclusion: STARR is a simple, less invasive and effective procedure for the treatment of ODS due to rectocele and/or rectal intussusception without major morbidity but pelvic floor dyssynergy should be excluded preoperatively because it’s presence makes the surgical intervention fruitless. Journal of Surgical Sciences (2019) Vol. 23(2): 67-70

scholarly journals Assessing Rectocele Depth and Its Association with Symptoms of Pelvic Floor Disorders Using Transperineal Ultrasound

2021 ◽  
Author(s):  
Hongyoon Jeong ◽  
Duk Hoon Park ◽  
Daeyoun Won ◽  
Jong Kyun Lee
Keyword(s):  
Quality Of Life ◽  
Pelvic Floor ◽  
Faecal Incontinence ◽  
Pelvic Floor Disorders ◽  
Clinical Symptoms ◽  
Cleveland Clinic ◽  
Severity Index ◽  
Transperineal Ultrasound ◽  
Incontinence Score

Abstract Aim We investigated the clinical features of symptomatic rectoceles, as measured by transperineal ultrasound (TPUS), and evaluated the association between rectocele size and the clinical symptoms of pelvic floor disorders. Method This was a retrospective study using data obtained at a pelvic floor centre between August 2020 and January 2021. A total of 125 patients with defaecation disorders, such as constipation and faecal incontinence, were included. The preoperative questionnaire included the Cleveland Clinic Constipation Scoring System (CCCS, Wexner constipation score), Cleveland Clinic Incontinence Score (CCIS, Wexner incontinence score), faecal incontinence severity index (FISI), and faecal incontinence quality of life (FIQOL) scale. The size of the rectocele was measured on the trans-perineal 2D images. Patients were assigned to three groups based on rectocele size: no rectocele (<10 mm), ≥10 mm rectocele, and ≥15 mm rectocele. Results In the study population, 43 participants (34.4%) had no rectocele, 50 (40.0%) had ≥10 mm rectocele, and 32 (25.6%) had ≥15 mm rectocele. From the no rectocele to ≥15 mm rectocele group, the scores for the symptoms of incontinence and constipation increased, and the quality of life worsened. The CCIS (6.00±4.95 vs 8.62±5.77 vs 11.08±5.63, P = 0.004), FIQOL (13.72±4.19 vs 13.42±4.35 vs 10.38±3.88, P = 0.006), FISI (18.83±17.67 vs 25.15±17.34 vs 33.42±15.49, P = 0.010), and CCCS (7.50±6.26 vs 8.65±5.31 vs 13.11±5.90, P = 0.006), respectively. Conclusion The TPUS was a valuable method for the anatomical evaluation of symptomatic rectocele. The larger the size of the symptomatic rectocele measured using TPUS, the more severe the clinical symptoms.

The influence of age on posterior pelvic floor dysfunction in women with obstructed defecation syndrome

2012 ◽  
Vol 16 (3) ◽  
pp. 227-232 ◽  
Author(s):  
S. M. Murad-Regadas ◽  
L. V. Rodrigues ◽  
D. C. Furtado ◽  
F. S. P. Regadas ◽  
G. Olivia da S. Fernandes ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Obstructed Defecation ◽  
Obstructed Defecation Syndrome

Types of pelvic floor dysfunctions in nulliparous, vaginal delivery, and cesarean section female patients with obstructed defecation syndrome identified by echodefecography

2009 ◽  
Vol 24 (10) ◽  
pp. 1227-1232 ◽  
Author(s):  
Sthela M. Murad-Regadas ◽  
Francisco Sérgio P. Regadas ◽  
Lusmar V. Rodrigues ◽  
Leticia Oliveira ◽  
Rosilma G. L. Barreto ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Pelvic Floor ◽  
Vaginal Delivery ◽  
Obstructed Defecation ◽  
Obstructed Defecation Syndrome ◽  
Female Patients
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