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Clinical Ultrasound in Benign Proctology: 2-D and 3-D Anal, by M. Pescatori, C.I. Bartram, A.P. Zbar, R.J. Nicholls

By M. Pescatori, C.I. Bartram, A.P. Zbar, R.J. Nicholls

2-D and three-D anal ultrasound are one of the latest and complex instruments to be had for either the analysis and the administration of anorectal illnesses. they're neither pricey nor destructive for the sufferers and gradually changed anal mapping with EMG electrodes for the analysis of sphincter's defects and anismus, which represents approximately 50% of the circumstances of continual constipation. Anal US could provide the clinician with precious info for either type, analysis and administration of anorectal sepsis, anal incontinence and anorectal-perineal persistent soreness. virtually any case offered during this Atlas exhibits either imaging and scientific images, therefore permitting either the radiologist and the clinician to evaluate the reliability of the examination and the end result of the chosen treatment.

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Additional resources for Clinical Ultrasound in Benign Proctology: 2-D and 3-D Anal, Vaginal and Transperineal Techniques

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Am J Roentgenol (AJR) 178:737-741 17. Sultan AH, Kamm MA, Hudson CN, Thomas JM, Bartram CI (1993) Anal-sphincter disruption during vaginal delivery. N Engl J Med 329:1905-1911 18. Bollard RC, Gardiner A, Lindow S, Phillips RKS, Duthie GS (2002) Normal female anal sphincter: difficulties in interpretation explained. Dis Colon Rectum 45:171-175 19. Deen KI, Kumar D, Willaims JG, Oluff J, Keighley MR (1993) Anal sphincter defects: correlation between endoanal ultrasound and surgery. Ann Surg 218:201-205 20.

Marsupialization of the abscess wound was employed in this case 26 Chapter 2 Clinical Use of Two-Dimensional Endoanal and Transvaginal Sonography High Trans-Sphincteric Fistula with Ischiorectal and Deep Retroanal Abscess Fig. 16a. Axial T2-weighted MRI showing a high transsphincteric fistula (arrow). There was no evidence of a primary pelvirectal origin Fig. 16b. Endoanal ultrasound of the same patient confirming the trans-sphincteric fistula. A probe has been inserted into the superficial part of the track (arrow) Fig.

26e. The appearance of the ‘closed anus’ following Durasphere® injection d Chapter 2 39 40 Chapter 2 Clinical Use of Two-Dimensional Endoanal and Transvaginal Sonography Fecal incontinence and Recurrent Rectal Prolapse A multiparous 73 year-old woman who suffered from urinary incontinence related to a cystocoele, and obstructed defecation with fecal incontinence, complained of a prolapsing external bulk on straining. She underwent a defecography that showed a mild rectocele and a rectal mucosal prolapse, therefore a STARR (Stapled trans anal rectal resection) procedure and a cystopexy were undertaken.

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