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Total pelvic floor ultrasound for pelvic floor defaecatory dysfunction: a pictorial review.
Multiple studies report high rates of reoperation for pelvic floor disorders after initial pelvic floor surgery. The straining q-tip test aims to discern stress urinary incontinence due to urethral hypermobility from intrinsic sphincter deficiency; and the dovetail sign is interpreted as an indication of anal sphincter disruption or dysfunction.
Despite attempts to uncover the specific defects responsible for pelvic floor dysfunction on physical examination, the pathophysiology of pelvic organ prolapse and urinary incontinence remains poorly understood. In an attempt to understand the underlying etiology of pelvic floor disorders, researchers have turned to static and dynamic imaging of pelvic soft tissues and viscera.
The advantages, limitations, and clinical applications of pelvic imaging modalities will be discussed in this chapter. Cystourethrography is a simple, inexpensive imaging modality that can be performed as a series of still images or can be used with fluoroscopy to obtain dynamic images.
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Because it employs plain radiography, it requires relatively small doses of ionizing radiation. Cystourethrography is used to diagnose urethral obstruction, such as from a tight sling, urethral fracture, or avulsion following trauma, especially if there is extravasation of contrast material outside of the urethra or bladder neck Figure , Forgot Password? What is MyAccess? Pop-up div Successfully Displayed This div only appears when the trigger link is hovered over. Otherwise it is hidden from view. Forgot Username?
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