Results of endosonographic imaging of the anal sphincter 2–7 days after primary repair of third‐ or fourth‐degree obstetric sphincter tears

Abstract

Objectives To describe the endosonographic image of the anal sphincter 2-7 days after delivery in women who had undergone a primary repair of an obstetric sphincter tear. Methods

Three‐dimensional transperineal ultrasound findings associated with anal incontinence after intrapartum sphincter tears in primiparous women

“…The use of ultrasound for evaluation of the anal sphincter soon after surgical repair has been discussed previously in the literature, using either the transperineal approach or the endoanal approach, with the known benefits and disadvantages of each4, 5, 15, 16. A recent study by Olsen et al 17 showed that the endoanal and transvaginal approaches visualized the anatomy of the posterior compartment, and that the transvaginal approach allowed visualization of the anal mucosa.…”

Three-dimensional endoanal ultrasound and anorectal manometry in children with anorectal malformations: new discoveries

“…2A and B) of any IAS and EAS defect, the Starck classification assigns a score from 0 to 16. The damage is classified as small (score of 1-4), moderate (score of 5-7), or large (score of 8-16) [11]. On 3D-EAUS, scar tissue appears as endosonographic areas of mixed echogenicity, whereas atrophy is seen as a thin and poorly defined sphincter with heterogeneous increased echogenicity [12].…”

Anal incontinence

“…Sultan et al reported that following a repair in the labour ward 65% had persisting defects on an endo-anal ultrasound scanning [29]. A study by Starck et al showed that when an endo-anal ultrasound scan was carried out 2-7 days after a primary repair of third or fourth degree obstetric injuries, 90% had persisting defects [30]. These authors have further studied the outcome of tears in a report in 2006.…”