Evidence map›Paper›PMID 28674949›Full record

ArticleTechniques in coloproctology2017

Dynamic translabial ultrasound versus echodefecography combined with the endovaginal approach to assess pelvic floor dysfunctions: How effective are these techniques?

S M Murad-Regadas, S A Karbage, L S Bezerra, F S P Regadas, A da Silva Vilarinho, L B Borges, F S P Regadas Filho, L B Veras

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Techniques in coloproctology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Perineal Ultrasound Versus Magnetic Resonance Imaging (MRI) Detection for Evaluation of Pelvic Diaphragm in Resting State.Medical science monitor : international medical journal of experimental and clinical research · 2018
    Article
  3. Imaging the pelvic floor.Techniques in coloproctology · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

S M Murad-RegadasUnit of Pelvic Floor and Anorectal Physiology, Department of Surgery, School of Medicine, Clinical Hospital, Federal University of Ceará, Av Pontes Vieira, 2551, Fortaleza, CE, 60130-241, Brazil. smregadas@hospitalsaocarlos.com.br.
S A KarbageUnit of Pelvic Floor and Anorectal Physiology, Clinical Hospital, Federal University of Ceará, Fortaleza, CE, Brazil.
L S BezerraUnit of Pelvic Floor and Anorectal Physiology, Clinical Hospital, Federal University of Ceará, Fortaleza, CE, Brazil.
F S P RegadasUnit of Pelvic Floor and Anorectal Physiology, Department of Surgery, School of Medicine, Clinical Hospital, Federal University of Ceará, Av Pontes Vieira, 2551, Fortaleza, CE, 60130-241, Brazil.
A da Silva VilarinhoUnit of Pelvic Floor and Anorectal Physiology, Department of Colorectal Surgery, Sao Carlos Hospital, Fortaleza, CE, Brazil.
L B BorgesUnit of Pelvic Floor and Anorectal Physiology, Department of Colorectal Surgery, Sao Carlos Hospital, Fortaleza, CE, Brazil.
F S P Regadas FilhoUnit of Pelvic Floor and Anorectal Physiology, Department of Colorectal Surgery, Sao Carlos Hospital, Fortaleza, CE, Brazil.
L B VerasUnit of Pelvic Floor and Anorectal Physiology, Department of Surgery, School of Medicine, Clinical Hospital, Federal University of Ceará, Av Pontes Vieira, 2551, Fortaleza, CE, 60130-241, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the role of dynamic translabial ultrasound (TLUS) in the assessment of pelvic floor dysfunction and compare the results with echodefecography (EDF) combined with the endovaginal approach.

methodsConsecutive female patients with pelvic floor dysfunction were eligible. Each patient was assessed with EDF combined with the endovaginal approach and TLUS. The diagnostic accuracy of the TLUS was evaluated using the results of EDF as the standard for comparison.

resultsA total of 42 women were included. Four sphincter defects were identified with both techniques, and EDF clearly showed if the defect was partial or total and additionally identified the pubovisceral muscle defect. There was substantial concordance regarding normal relaxation and anismus. Perfect concordance was found with rectocele and cystocele. The rectocele depth was measured with TLUS and quantified according to the EDF classification. Fair concordance was found for intussusception. There was no correlation between the displacement of the puborectal muscle at maximum straining on EDF with the displacement of the anorectal junction (ARJ), compared at rest with maximal straining on TLUS to determine perineal descent (PD). The mean ARJ displacement was similar in patients with normal and those with excessive PD on TLUS.

conclusionsBoth modalities can be used as a method to assess pelvic floor dysfunction. The EDF using 3D anorectal and endovaginal approaches showed advantages in identification of the anal sphincters and pubodefects (partial or total). There was good correlation between the two techniques, and a TLUS rectocele classification based on size that corresponds to the established classification using EDF was established.

Indexed as

AdultAgedAged, 80 and overCystoceleDefecographyEndosonographyFemaleHumansImaging, Three-DimensionalMiddle AgedPelvic FloorPelvic Floor DisordersRectoceleRectumReproducibility of ResultsUltrasonographyConstipationCystocelePelvic floorRectoceleUltrasound

Identifiers

PMID28674949

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.