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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Pelvic floor muscle dysfunction on 3D/4D transperineal ultrasound in patients with deep infiltrating endometriosis: a pilot study
Ultrasound in Obstetrics and Gynecology, Volume 50, No. 4, Year 2017
Notification
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Description
Objective: Pelvic floor muscle (PFM) dysfunction seems to play an important role in the pathophysiology of pelvic pain, including that associated with deep infiltrating endometriosis (DIE). The aim of this study was to evaluate the static and dynamic morphometry of the PFM using three-dimensional (3D) and four-dimensional (4D) transperineal ultrasound in women with DIE compared with asymptomatic healthy women. Methods: This was a pilot, prospective study conducted at our tertiary center between March and November 2015. Fifty nulliparous women with DIE (study group) and 35 nulliparous asymptomatic healthy women (control group) were included. 3D/4D transperineal ultrasound examination of the PFM was performed in both groups. Levator hiatal area (LHA) and anteroposterior and left–right transverse diameters were evaluated at rest, on maximum PFM contraction and on maximum Valsalva maneuver. Persistent levator ani muscle (LAM) coactivation during Valsalva maneuver was investigated. Results: Compared with the control group, women with DIE had a smaller LHA at rest (P = 0.03) and during Valsalva maneuver (P < 0.01). Furthermore, reduction in LHA during PFM contraction (P < 0.001) and enlargement in LHA during Valsalva maneuver (P = 0.01) were significantly less marked. In comparison with controls, women with DIE presented a higher frequency of LAM coactivation during Valsalva maneuver, although this difference did not reach statistical significance (P = 0.05). Conclusions: 3D and 4D transperineal ultrasound is an objective and non-invasive method for PFM morphometry and may have a role in detecting PFM dysfunction in women with DIE. Copyright © 2016 ISUOG. Published by John Wiley & Sons Ltd.
Authors & Co-Authors
Raimondo, D.
Italy, Bologna
Irccs Azienda Ospedaliero-universitaria Di Bologna
Youssef, Aly Alaa
Italy, Bologna
Irccs Azienda Ospedaliero-universitaria Di Bologna
Mabrouk, Mohamed H.
Italy, Bologna
Irccs Azienda Ospedaliero-universitaria Di Bologna
Egypt, Alexandria
Faculty of Medicine
del Forno, Simona
Italy, Bologna
Irccs Azienda Ospedaliero-universitaria Di Bologna
Martelli, Valentina
Italy, Bologna
Irccs Azienda Ospedaliero-universitaria Di Bologna
Pilu, Gianluigi
Italy, Bologna
Irccs Azienda Ospedaliero-universitaria Di Bologna
Rizzo, Nicola
Italy, Bologna
Irccs Azienda Ospedaliero-universitaria Di Bologna
Zannoni, Letizia
Italy, Bologna
Irccs Azienda Ospedaliero-universitaria Di Bologna
Paradisi, Roberto
Italy, Bologna
Irccs Azienda Ospedaliero-universitaria Di Bologna
Seracchioli, Renato
Italy, Bologna
Irccs Azienda Ospedaliero-universitaria Di Bologna
Statistics
Citations: 40
Authors: 10
Affiliations: 2
Identifiers
Doi:
10.1002/uog.17323
ISSN:
09607692
e-ISSN:
14690705
Study Design
Randomised Control Trial
Cohort Study
Participants Gender
Female