A short-term independent audit of mesh repair for the treatment of rectocele in women, using 3-dimensional volume ultrasound: a pilot study
Barry, Christopher, Dietz, Hans Peter, Lim, Yik Nyok, and Rane, Ajay (2006) A short-term independent audit of mesh repair for the treatment of rectocele in women, using 3-dimensional volume ultrasound: a pilot study. Australian and New Zealand Continence Journal, 12 (4). pp. 94-96.
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The aim of this study was to determine if three-dimensional ultrasound (3-DUS) could be used to assess the outcome of rectocele repair. This was a retrospective, observational study using transperineal 3-DUS on 71 women who had undergone rectocele repair using a mesh overlay technique. The severity of the rectocele was assessed at the time of surgery and at follow-up. Ultrasound examination was undertaken independently with a standardised review of associated urinary and bowel symptomatology. Results showed there was no correlation between levator dimensions or perineal mobility with age, parity, follow-up time or symptoms of bowel dysfunction. Nor was there any correlation between such symptoms and persistence of a fascial defect on ultrasound which were evident in over 20% of patients. There was a moderate negative correlation between levator hiatal area on Valsalva and descent of the rectal ampulla, as well as clinical and ultrasound evidence of rectocele recurrence. It was concluded that 3-DUS of the pelvic floor offered an independent and objective assessment of the outcomes of pelvic floor surgery.
|Item Type:||Article (Refereed Research - C1)|
|Keywords:||rectocele; 3D Ultrasound; women; mesh repairs|
|FoR Codes:||11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111402 Obstetrics and Gynaecology @ 100%|
|SEO Codes:||92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920119 Urogenital System and Disorders @ 100%|
|Deposited On:||30 Oct 2009 11:50|
|Last Modified:||13 Feb 2011 06:53|
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