Sonographic Diagnosis of Paravaginal Defects: A Standardization of Technique

Nguyen, John N.; Hall, Cynthia; Taber, Evan; Bhatia, Narender N.

doi:10.1007/s001920070003

Cited by 23 publications

(10 citation statements)

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“…The effect of this operation alone is, however, insufficient, and it can only be used to prevent development of cystourethrocele and ischuria paradoxa after Burch colposuspension. Not all patients with PVD are incontinent [16][17][18] . In clinical practice, we are convinced that it is important to determine whether women with stress urinary incontinence have a PVD, because this information can improve the surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound imaging of paravaginal defects in women with stress incontinence before and after paravaginal defect repair

Martan¹,

Mašata²,

Halaska³

et al. 2002

Ultrasound in Obstet & Gyne

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Section: Discussionmentioning

confidence: 99%

Ultrasound imaging of paravaginal defects in women with stress incontinence before and after paravaginal defect repair

Martan¹,

Mašata²,

Halaska³

et al. 2002

Ultrasound in Obstet & Gyne

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“…Further, the diagnosis of a paravaginal defect, uterovaginal prolapse, fibroid, or cyst via an imaging study is challenging and, in the case of the paravaginal defect, a controversial undertaking. 20,54 Furthermore, such investigations are beyond the scope of practice and training of physical therapists. However, if therapists employ ultrasound imaging in this region they must be prepared to handle suspicions of such findings in a timely and professional manner.…”

Section: Muscle Morphology and Structuralmentioning

confidence: 99%

“…research agenda u ltrasound imaging can be used to assess the morphology of the pelvic floor muscles and associated structures. 7,20,52,54 It also provides a means to measure the supporting function of the pelvic floor muscles through the objective dynamic assessment of a voluntary pelvic floor muscle contraction that results in elevation of the bladder neck or bladder base, and the mobility of the bladder base and neck during maneuvers than increase intra-abdominal pressure. Ultrasound imaging has the advantage of provision of real-time information, thereby providing instantaneous visual feedback to both the client and therapist, and is more clinically accessible and affordable than MRI.…”

Section: Qualitative Evaluation T He Use Of Ultrasound Imagingmentioning

confidence: 99%

Rehabilitative Ultrasound Imaging of Pelvic Floor Muscle Function

Whittaker¹,

Thompson²,

Teyhen³

et al. 2007

J Orthop Sports Phys Ther

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found that 78% of women with LBP report concurrent UI. As such, there is a need for physical therapists to have access to tools that accurately evaluate the various aspects of pelvic floor muscle function (elevating and occlusion functions, as well as neuromuscular control, strength, and endurance) both in laboratory and clinical environments.Ultrasound imaging is a potential tool that has been used to evaluate the morphology 7,52 and certain components of the function 24,27,67,81,82,86 of these muscles. Specifically, ultrasound imaging has been shown to be more specific than intravaginal palpation for measurement of the lifting action of the pelvic floor muscles on the bladder neck 31 and base, 20,31 and it provides information about the supporting function of the pelvic floor muscles during various maneuvers. 20,57,85 As the use of rehabilitative ultrasound imaging for assessment of pelvic floor muscles function is a relatively new procedure, the goal of this commentary i t is well accepted that the pelvic floor muscles, specifically the levator ani, provide an important contribution to the continence mechanism.17 is to provide an understanding of current applications, the available quantitative and qualitative information, the associated limitations, and to show how rehabilitative ultrasound imaging can be incorporated as a form of biofeedback during rehabilitation. Furthermore, as the compilation and comparison of data depends on consistency of measurement techniques, this commentary highlights considerations for measurement accuracy and interpretation and provides generic guidelines for future investigation based upon international consensus. 80QuantitatiVe eVaLuation u ltrasound imaging has been used to measure the morphology 7,52 of the pelvic floor muscles. It has also been used to measure the impact of pelvic floor muscle contraction or increase in intra-abdominal pressure (straining, cough, sneeze, or leg-raising task) on the bladder from a variety of approaches (transperineal and transabdominal; Figure 1), planes (sagittal and transverse), and positions. 6,22,27,57,61,67,76,83,84,96 The transperineal approach (placement of the ultrasound transducer in a sagittal plane along the midline of the perineum) is considered advantageous to the transabdominal approach, as both the pubic symphysis and the proximal junction of the bladder neck and urethra are included within the field of view and can serve

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“…There is good sonographic visualization of descent of the anterior vaginal wall with cystocele formation. Different abnormalities such as paravaginal defects are demonstrated by abdominal ultrasound [20,21]. However, there are as yet little data and the clinical significance of these ultrasound findings remains to be determined.…”

Section: Clinical Applicationmentioning

confidence: 99%

Updated recommendations on ultrasonography in urogynecology

Tunn¹,

Schaer²,

Peschers

et al. 2004

Int Urogynecol J

134

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Ultrasound is a supplementary, indispensable diagnostic procedure in urogynecology; perineal, introital, and endoanal ultrasound are the most recommended techniques. The position and mobility of the bladder neck can be demonstrated. In patients undergoing diagnostic work-up for urge symptoms, ultrasound occasionally demonstrates urethral diverticula, leiomyomas, and cysts in the vaginal wall. These findings will lead to further diagnostic assessment. The same applies to the demonstration of bladder diverticula, foreign bodies in the bladder, and bullous edema. With endoanal ultrasound, different parts of the sphincter ani muscle can be evaluated. Recommendations for the standardized use of urogenital ultrasound are given.

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Sonographic Diagnosis of Paravaginal Defects: A Standardization of Technique

Cited by 23 publications

References 0 publications

Ultrasound imaging of paravaginal defects in women with stress incontinence before and after paravaginal defect repair

Ultrasound imaging of paravaginal defects in women with stress incontinence before and after paravaginal defect repair

Rehabilitative Ultrasound Imaging of Pelvic Floor Muscle Function

Updated recommendations on ultrasonography in urogynecology

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