Comparison of transperineal and endoanal ultrasound in detecting residual obstetric anal sphincter injury.
endoanal ultrasound
external anal sphincter
obstetric anal sphincter tear
transperineal ultrasound
Journal
Acta obstetricia et gynecologica Scandinavica
ISSN: 1600-0412
Titre abrégé: Acta Obstet Gynecol Scand
Pays: United States
ID NLM: 0370343
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
received:
11
02
2019
revised:
17
05
2019
accepted:
16
07
2019
pubmed:
6
8
2019
medline:
31
3
2020
entrez:
6
8
2019
Statut:
ppublish
Résumé
Endoanal ultrasound is considered the gold standard when assessing the obstetric anal sphincter complex. Due to its relative intrusiveness and economic cost, other ultrasound modalities are on the rise, such as transperineal ultrasound with a convex probe. The aim of our study was to evaluate the agreement between endoanal ultrasound scores (EAUS score) and transperineal ultrasound scores (TPUS score) in assessing residual obstetric anal sphincter defects. Fifty-nine women were examined 6 months after primary suturing of obstetric anal sphincter injury with two ultrasound modalities. A standardized scoring system analyzing the length, depth and radial extent of both the external (EAS) and internal (IAS) sphincter was used. Wexner fecal incontinence score was used to assess the patients' symptoms. Transperineal ultrasound scores score showed a strong significant correlation with EAUS score during both pelvic floor relaxation and contraction: Spearman's rho [r The results indicated a strong agreement between endoanal and transperineal ultrasound in assessing residual obstetric anal sphincter defects 6 months after primary suturing. Furthermore, a weak significant correlation was found between the ultrasound scores and the patients' Wexner fecal incontinence score.
Types de publication
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1624-1631Subventions
Organisme : Stig and Ragna Gorthon Foundation
Pays : International
Organisme : Skane County Council
Pays : International
Informations de copyright
© 2019 Nordic Federation of Societies of Obstetrics and Gynecology.
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