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Consensus definitions and interpretation templates for dynamic ultrasound imaging of defecatory pelvic floor disorders: Proceedings of the consensus meeting of the pelvic floor disorders consortium of the american society of colon and rectal surgeons, the society of abdominal radiology, the international continence society, the American urogynecologic society, the international urogynecological association, and the society of gynecologic surgeons

Authors :
Alshiek, Jonia
Murad-Regadas, Sthela M.
Mellgren, Anders
Glanc, Phyllis
Khatri, Gaurav
Quiroz, Lieschen H.
Weinstein, Milena M.
Rostaminia, Ghazaleh
Oliveira, Lucia
Arif-Tiwari, Hina
Ferrari, Linda
Bordeianou, Liliana
Shobeiri, S. Abbas
Source :
International Urogynecology Journal; Mar2023, Vol. 34 Issue 3, p603-619, 17p
Publication Year :
2023

Abstract

APFUS = endoanal/endorectal pelvic floor ultrasound; EAS = external anal sphincter; IAS = internal anal sphincter Important caveats in the imaging include the following: 1) identification of the puborectalis muscles immediately cephalad to the anal sphincter; 2) differentiation of an anterior external sphincter injury versus a short anal sphincter in a female in the middle anal canal; 3) recognition that the distal anal canal only contains external sphincter; and 4) and a thinned out perineal body may be a sign of middle anal sphincter injury. Keywords: Anal incontinence; Anal sphincter; Anorectal tumors; Dyspareunia; Fecal incontinence; Levator ani muscle; Obstetric perineal injury; Obstructed defecation; Pelvic floor; Pelvic organ prolapse; Perianal abscess and fistula; Synthetic implants; Ultrasound; Urinary incontinence EN Anal incontinence Anal sphincter Anorectal tumors Dyspareunia Fecal incontinence Levator ani muscle Obstetric perineal injury Obstructed defecation Pelvic floor Pelvic organ prolapse Perianal abscess and fistula Synthetic implants Ultrasound Urinary incontinence 603 619 17 02/24/23 20230301 NES 230301 Jonia Alshiek, Sthela M. Murad-Regadas, and Anders Mellgren contributed equally as first coauthors. APFUS = endoanal/endorectal pelvic floor ultrasound; AR = anorectum; EAS = external anal sphincter; IAS = internal anal sphincter; L = left; LP = levator plate; P = posterior; PC = pubococcygeus; PR = puborectalis; R = right; V = vagina When an anal sphincter injury is suspected, complete characterization of the injury requires... Obstetric anal sphincter injury is a common cause of fecal incontinence [[30]]. 1:STN:280:DC%2BD387hvFGitw%3D%3D. 10.1007/s10350-004-6140-1. 11852329 24 Sultan AH, Thakar R. Diagnosis of anal sphincter tears to prevent fecal incontinence: a randomized controlled trial. [Extracted from the article]

Details

Language :
English
ISSN :
09373462
Volume :
34
Issue :
3
Database :
Complementary Index
Journal :
International Urogynecology Journal
Publication Type :
Academic Journal
Accession number :
162033503
Full Text :
https://doi.org/10.1007/s00192-022-05414-z