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Dynamic Two- and Three-dimensional Ultrasonography: Echodefecography

  • Sthela M. Murad Regadas
  • F. Sérgio P. Regadas

Abstract

Here we describe a novel dynamic ultrasonography technique — echodefecography — using a 360° two-and three- dimensional transducer with automatic scanning to assess patients with obstructed defecation. The technique is useful to evaluate evacuation disturbances affecting the posterior compartment (anorectocele, intussusception, prolapse, and anismus) and the middle compartment (enterocele). Echodefecography may be used as an alternative method to assess patients with obstructive defecation syndrome, as it has been shown to detect the same anorectal dysfunctions identified by defecography.

Keywords

Pelvic Floor Anal Sphincter Anal Canal Pelvic Floor Muscle External Anal Sphincter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Beer-Gabel M, Teshler M, Barzilai N et al (2002) Dynamic trans-perineal ultrasound (DTP-US) — a new method for diagnosis of pelvic floor disorders: technical details and preliminary results. Dis Colon Rectum 45:239–248PubMedCrossRefGoogle Scholar
  2. 2.
    Beer-Gabel M, Teshler M, Schechtman E, Zbar AP (2004) Dynamic transperineal ultrasound vs. defecography in patients with evacuatory difficulty: a pilot study. Int J Colorectal Dis 19:60–67PubMedCrossRefGoogle Scholar
  3. 3.
    Brusciano L, Limongelli P, Pescatori M et al (2007) Ultrasonographic patterns in patients with obstructed defaecation. Int J Colorectal Dis 22:969–977PubMedCrossRefGoogle Scholar
  4. 4.
    Barthet M, Portier F, Heyries L (2000) Dynamic anal endosonography may challenge defecography for assessing dynamic anorectal disorders: results of a prospective pilot study. Endoscopy 32(4):300–305PubMedCrossRefGoogle Scholar
  5. 5.
    Murad Regadas SM, Regadas FSP, Rodrigues LV et al (2006) A novel procedure to assess anismus using three-dimensional dynamic ultrasonography. Colorectal Dis 9:159–165CrossRefGoogle Scholar
  6. 6.
    Murad Regadas SM, Regadas FSP, Rodrigues LV et al (2006) Ecodefecografia tridimensional dinâmica nova técnica para avaliação da síndrome da defecação obstruída (SDO) rev bras. Coloproctol 26(2):168–177Google Scholar
  7. 7.
    Murad Regadas SM, Regadas FSP, Rodrigues LV et al (2008) A novel three-dimensional dynamic anorectal ultrasonography technique (echodefecography) to assess obstructed defecation, a comparison with defecograhy. Surg Endoscopy 22:974–979CrossRefGoogle Scholar
  8. 8.
    Murad Regadas SMM, Regadas FSP, Lima DMR (2006) Ultra-sonografia anorretal dinâmica novas técnicas In: Regadas FSP, Murad Regadas SMM (eds) Distúrbios funcionais do assoalho pélvico atlas de ultra-sonografia anorretal bi e tri-dimensional. Editora RevinterRio de Janeirop, pp 79–94Google Scholar
  9. 9.
    F. Sergio P. Regadas, Sthela M et al (2007) Anal canal anatomy shown by three-dimensional anorectal ultrasonography. Surg Endoscopy 21(12):2207–2211CrossRefGoogle Scholar
  10. 10.
    Regadas FSP, Murad Regadas SM, Wexner SD et al (2006) Anorectal three-dimensional endosonography and anal manometry in assessing anterior rectocele in women. A new pathogenesis concept and the basic surgical principle. Colorectal Dis 9:80–85CrossRefGoogle Scholar

References

  1. 1.
    Bouchoucha M, Devroede G, Arsac M (2004) Anismus: a marker of multi-site functional disorder? Int J Colorect Dis 19:374–379CrossRefGoogle Scholar
  2. 2.
    Gosselink MJ, van Dam JH, Huisman WM, Schouten WR (1999) Treatment of enterocele by obliteration of the pelvic inlet. Dis Colon Rectum 42.940–944PubMedCrossRefGoogle Scholar
  3. 3.
    Oom DM, van Dijl VR, Gosselink MP, Schouten WR (2007) Enterocele repair by abdominal obliteration of the pelvic inlet: long-term outcome on obstructed defaecation and symptoms of pelvic discomfort. Colorect Dis 9:845–580CrossRefGoogle Scholar
  4. 4.
    Halligan S, Sultan AH, Rottenberg G, Bartram CI (1995) Endosonography of the anal sphincter in solitary rectal ulcer syndrome. Int J Colorect Dis 10:79–82CrossRefGoogle Scholar
  5. 5.
    Brusciano L, Limongelli P, Pescatori M et al (2007) Ultrasonographic pattern in patients with outlet obstruction. Int J Colorect Dis 22:969–977CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Sthela M. Murad Regadas
  • F. Sérgio P. Regadas

There are no affiliations available

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