Usefulness of 3D transperineal ultrasound in severe stenosis of the anal canal: preliminary experience in four casesReport as inadecuate




Usefulness of 3D transperineal ultrasound in severe stenosis of the anal canal: preliminary experience in four cases - Download this document for free, or read online. Document in PDF available to download.

Techniques in Coloproctology

, Volume 18, Issue 5, pp 495–501

First Online: 01 October 2013Received: 14 July 2013Accepted: 17 September 2013

Abstract

BackgroundOrganic or functional anal canal stenoses are uncommon conditions that occur in the majority of cases as a consequence of anal diseases. A proper assessment is fundamental for decision making; however, proctological examination and endoanal ultrasound are often unfeasible or very difficult to perform even under local or general anesthesia. We therefore began to use 3D transperineal ultrasound to assess patients. The aim of this study was to compare the results of evacuation proctography and 3D transperineal ultrasound in patients with severe anal canal stenosis.

MethodsFour consecutive patients with high-grade anal canal stenosis were evaluated using both proctography and 3D transperineal ultrasound with a micro-convex transducer between March and June 2011.

ResultsIn all cases, 3D transperineal ultrasound provided detailed information on the length and level of stenosis and on the integrity of the anal sphincters.

ConclusionsOur preliminary experience suggests that 3D transperineal ultrasound makes it possible to plan optimal surgical treatment.

KeywordsAnal stenosis Three-dimensional ultrasound Transperineal ultrasound  Download fulltext PDF



Author: M. Kołodziejczak - G. A. Santoro - R. Z. Słapa - T. Szopiński - I. Sudoł-Szopińska

Source: https://link.springer.com/article/10.1007/s10151-013-1078-8







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