Die Bedeutung der radiologischen Beckenviszerographie für eine rationelle Therapie der weiblichen Streßinkontinenz

Richter, K.S.

doi:10.1055/s-2008-1035864

Cited by 12 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Bead-chain urethrocystograms and colpocystorectograms were analyzed according to the criteria applied by Green (2) and Richter (6). The correlation coefficient (r) was derived for the bladder neck descent, the extention of cystoceles, and the posterior urethrovesical angle as measured on the x-ray examinations; this was compared with measurements on the dynamic MR images.…”

Section: Review Of Datamentioning

confidence: 99%

Pelvic floor descent: Dynamic MR imaging using a half-fourier RARE sequence

Gufler

Laubenberger

Degregorio

et al. 1999

J. Magn. Reson. Imaging

View full text Add to dashboard Cite

Dynamic magnetic resonance imaging (MRI) using a single shot fast spin‐echo technique was evaluated as a noninvasive alternative to cystourethography or colpocystorectography in patients with pelvic organ prolapse and/or urinary incontinence. Thirty‐two patients were included in this prospective study. Colpocystorectography was performed in 10 patients who previously had undergone hysterectomy and in 2 patients without history of hysterectomy with clinical suspicion of rectoceles. Bead‐chain cystourethrography was performed in 20 patients without hysterectomy. For dynamic MRI, a single‐slice half‐Fourier RARE sequence (imaging time 2 seconds) was used to depict the pelvic organs at different levels of pelvic strain. The results obtained with dynamic MRI were correlated with the x‐ray findings. All 17 cystoceles, 10 rectoceles, 2 enteroceles, and 7 vaginal prolapses could be demonstrated on MRI. Diagnostic information gained from these images was equivalent to that obtained with colpocystorectography and superior to that obtained with cystourethrography; with the latter, important findings were missed (four rectoceles). We conclude that dynamic MRI of the pelvic floor with a half‐Fourier RARE sequence can reliably detect descents of all three pelvic compartments, that it requires no contrast agent, and that no radiation exposure is involved.J. Magn. Reson. Imaging 1999;9:378–383. © 1999 Wiley‐Liss, Inc.

show abstract

Section: Review Of Datamentioning

confidence: 99%

Pelvic floor descent: Dynamic MR imaging using a half-fourier RARE sequence

Gufler

Laubenberger

Degregorio

et al. 1999

J. Magn. Reson. Imaging

View full text Add to dashboard Cite

show abstract

“…There have been attempts in the past to integrate imaging methods into the clinical practice of pelvic floor surgeons. From the 1920s onwards, radiological techniques were introduced1–3, first to describe bladder descent, and later for central and posterior compartment prolapse4. Ultrasound has found more widespread acceptance since the late 1980s, whether by the transvaginal5 or the introital/transperineal/translabial6 route.…”

Section: Introductionmentioning

confidence: 99%

Why pelvic floor surgeons should utilize ultrasound imaging

Dietz

2006

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

“…Ultrasound, on the other hand, is almost universally available and provides for realtime observation of manoeuvres. Initially, the focus of ultrasound research in this field was on emulating radiological techniques which had been in use since the 1920's [1][2][3][4][5][6]. From the 1980's onwards, transabdominal [7,8], perineal [9,10], transrectal [11] and transvaginal ultrasound [12] have been investigated for use in women suffering from urinary incontinence and prolapse.…”

Section: Introductionmentioning

confidence: 99%

Pelvic Floor Ultrasound

Dietz

2006

CMIR

View full text Add to dashboard Cite

Over the last 20 years, ultrasound has largely replaced radiological methods in the investigation of pelvic floor disorders. Transrectal, transvaginal/ introital and transperineal/ translabial methods have been investigated, with the transperineal/ translabial approach currently the most widespread due to ease of use and the fact that equipment is available almost universally. Position and mobility of the bladder neck, bladder wall thickness, pelvic floor muscle activity and pelvic organ prolapse can be quantified, and Color Doppler may be used to document stress urinary incontinence. As a consequence, both preoperative assessment and audit activities in the field of pelvic reconstructive surgery have been markedly enhanced. This has been most evident in the evaluation of new synthetic slings and implants which usually are highly echogenic, making ultrasound the imaging method of choice for the evaluation of such grafts.Most recently, 3D translabial and transvaginal ultrasound have given access to the axial plane, allowing imaging of paravaginal spaces, the levator hiatus and the pubococcygeus/ puborectalis muscles, i.e., the inferior aspects of the levator ani. The observation of manoeuvres such as a pelvic floor contraction or a Valsalva in the three orthogonal planes, rendered 3D volumes and 4D volume cine clips open up new possibilities for the assessment of functional anatomy, superior to what is currently possible with Magnetic Resonance Imaging. With the latest development, Volume Contrast Imaging (VCI), pelvic floor ultrasound has now reached the spatial resolution of MRI in all three dimensions, while providing far superior temporal resolution. It has become clear that, while there is a wide range of 'normality' in pelvic organ mobility and the dimensions of the levator ani and the hiatus itself, childbirth has a distinct effect on the dimensions of the hiatus and may cause significant soft-tissue trauma that is not apparent at the time of delivery. However, the clinical relevance of such traumatic changes remains to be determined. Much work will need to be done before the full potential of 3D/ 4D pelvic floor ultrasound is realized, both in research and in clinical practice.

show abstract

Die Bedeutung der radiologischen Beckenviszerographie für eine rationelle Therapie der weiblichen Streßinkontinenz

Cited by 12 publications

References 0 publications

Pelvic floor descent: Dynamic MR imaging using a half-fourier RARE sequence

Pelvic floor descent: Dynamic MR imaging using a half-fourier RARE sequence

Why pelvic floor surgeons should utilize ultrasound imaging

Pelvic Floor Ultrasound

Contact Info

Product

Resources

About