Detection of Anal Sphincter Defects in Female Patients With Fecal Incontinence: A Comparison of 3-Dimensional Transperineal Ultrasound and 2-Dimensional Endoanal Ultrasound (2024)

Oom, D., West, R., Schouten, W. R. (2012). Detection of Anal Sphincter Defects in Female Patients With Fecal Incontinence: A Comparison of 3-Dimensional Transperineal Ultrasound and 2-Dimensional Endoanal Ultrasound. , 55(6), 646-652. https://doi.org/10.1097/DCR.0b013e318251dca1

Oom, Daniella ; West, rachel ; Schouten, Willem Rudolf et al. / Detection of Anal Sphincter Defects in Female Patients With Fecal Incontinence: A Comparison of 3-Dimensional Transperineal Ultrasound and 2-Dimensional Endoanal Ultrasound. In: . 2012 ; Vol. 55, No. 6. pp. 646-652.

@article{4c4effe0d85f4f1ba5e8ea1d5bdc228c,

title = "Detection of Anal Sphincter Defects in Female Patients With Fecal Incontinence: A Comparison of 3-Dimensional Transperineal Ultrasound and 2-Dimensional Endoanal Ultrasound",

abstract = "BACKGROUND: Endoanal ultrasound is widely used for the detection of external and internal anal sphincter defects in patients with fecal incontinence. Recently, 3-dimensional transperineal ultrasound has been introduced as a noninvasive imaging method for the detection of these sphincter defects. OBJECTIVE: This study was designed to assess agreement between 3-dimensional transperineal ultrasound and 2-dimensional endoanal ultrasound regarding the detection of anal sphincter defects in women with fecal incontinence. DESIGN: This study was designed as a prospective observational study. SETTINGS: The study took place in a university hospital. PATIENTS: Between October 2008 and June 2009, all women with concerns of fecal incontinence underwent 2-dimensional endoanal ultrasound as well as 3-dimensional transperineal ultrasound. MAIN OUTCOME MEASURES: The main outcome measures are the presence of external and internal anal sphincter defects. RESULTS: Fifty-five patients were included. External and internal anal sphincter defects were observed with 2-dimensional endoanal ultrasound in 27 (49%) and 15 (27%) patients. Three-dimensional transperineal ultrasound detected an external and internal sphincter defect in 19 (35%) and 16 (29%) patients. The Cohen kappa coefficient for the detection of external (kappa = 0.63) and internal (kappa = 0.78) anal sphincter defects was good. LIMITATIONS: This study's limitations include the absence of a surgical examination as the reference standard in the determination of sphincter defects. CONCLUSION: This study shows good agreement between 3-dimensional transperineal ultrasound and 2-dimensional endoanal ultrasound regarding the detection of anal sphincter defects. Based on these data, 3-dimensional transperineal ultrasound might be considered as a valuable alternative noninvasive investigation method.",

author = "Daniella Oom and rachel West and Schouten, {Willem Rudolf} and Anneke Steensma",

year = "2012",

doi = "10.1097/DCR.0b013e318251dca1",

language = "Undefined/Unknown",

volume = "55",

pages = "646--652",

journal = "Diseases of the Colon & Rectum",

issn = "0012-3706",

publisher = "Lippincott Williams & Wilkins",

number = "6",

}

Oom, D, West, R, Schouten, WR 2012, 'Detection of Anal Sphincter Defects in Female Patients With Fecal Incontinence: A Comparison of 3-Dimensional Transperineal Ultrasound and 2-Dimensional Endoanal Ultrasound', , vol. 55, no. 6, pp. 646-652. https://doi.org/10.1097/DCR.0b013e318251dca1

Detection of Anal Sphincter Defects in Female Patients With Fecal Incontinence: A Comparison of 3-Dimensional Transperineal Ultrasound and 2-Dimensional Endoanal Ultrasound. / Oom, Daniella; West, rachel; Schouten, Willem Rudolf et al.
In: , Vol. 55, No. 6, 2012, p. 646-652.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Detection of Anal Sphincter Defects in Female Patients With Fecal Incontinence: A Comparison of 3-Dimensional Transperineal Ultrasound and 2-Dimensional Endoanal Ultrasound

AU - Oom, Daniella

AU - West, rachel

AU - Schouten, Willem Rudolf

AU - Steensma, Anneke

PY - 2012

Y1 - 2012

N2 - BACKGROUND: Endoanal ultrasound is widely used for the detection of external and internal anal sphincter defects in patients with fecal incontinence. Recently, 3-dimensional transperineal ultrasound has been introduced as a noninvasive imaging method for the detection of these sphincter defects. OBJECTIVE: This study was designed to assess agreement between 3-dimensional transperineal ultrasound and 2-dimensional endoanal ultrasound regarding the detection of anal sphincter defects in women with fecal incontinence. DESIGN: This study was designed as a prospective observational study. SETTINGS: The study took place in a university hospital. PATIENTS: Between October 2008 and June 2009, all women with concerns of fecal incontinence underwent 2-dimensional endoanal ultrasound as well as 3-dimensional transperineal ultrasound. MAIN OUTCOME MEASURES: The main outcome measures are the presence of external and internal anal sphincter defects. RESULTS: Fifty-five patients were included. External and internal anal sphincter defects were observed with 2-dimensional endoanal ultrasound in 27 (49%) and 15 (27%) patients. Three-dimensional transperineal ultrasound detected an external and internal sphincter defect in 19 (35%) and 16 (29%) patients. The Cohen kappa coefficient for the detection of external (kappa = 0.63) and internal (kappa = 0.78) anal sphincter defects was good. LIMITATIONS: This study's limitations include the absence of a surgical examination as the reference standard in the determination of sphincter defects. CONCLUSION: This study shows good agreement between 3-dimensional transperineal ultrasound and 2-dimensional endoanal ultrasound regarding the detection of anal sphincter defects. Based on these data, 3-dimensional transperineal ultrasound might be considered as a valuable alternative noninvasive investigation method.

AB - BACKGROUND: Endoanal ultrasound is widely used for the detection of external and internal anal sphincter defects in patients with fecal incontinence. Recently, 3-dimensional transperineal ultrasound has been introduced as a noninvasive imaging method for the detection of these sphincter defects. OBJECTIVE: This study was designed to assess agreement between 3-dimensional transperineal ultrasound and 2-dimensional endoanal ultrasound regarding the detection of anal sphincter defects in women with fecal incontinence. DESIGN: This study was designed as a prospective observational study. SETTINGS: The study took place in a university hospital. PATIENTS: Between October 2008 and June 2009, all women with concerns of fecal incontinence underwent 2-dimensional endoanal ultrasound as well as 3-dimensional transperineal ultrasound. MAIN OUTCOME MEASURES: The main outcome measures are the presence of external and internal anal sphincter defects. RESULTS: Fifty-five patients were included. External and internal anal sphincter defects were observed with 2-dimensional endoanal ultrasound in 27 (49%) and 15 (27%) patients. Three-dimensional transperineal ultrasound detected an external and internal sphincter defect in 19 (35%) and 16 (29%) patients. The Cohen kappa coefficient for the detection of external (kappa = 0.63) and internal (kappa = 0.78) anal sphincter defects was good. LIMITATIONS: This study's limitations include the absence of a surgical examination as the reference standard in the determination of sphincter defects. CONCLUSION: This study shows good agreement between 3-dimensional transperineal ultrasound and 2-dimensional endoanal ultrasound regarding the detection of anal sphincter defects. Based on these data, 3-dimensional transperineal ultrasound might be considered as a valuable alternative noninvasive investigation method.

U2 - 10.1097/DCR.0b013e318251dca1

DO - 10.1097/DCR.0b013e318251dca1

M3 - Article

C2 - 22595843

SN - 0012-3706

VL - 55

SP - 646

EP - 652

JO - Diseases of the Colon & Rectum

JF - Diseases of the Colon & Rectum

IS - 6

ER -

Oom D, West R, Schouten WR, Steensma A. Detection of Anal Sphincter Defects in Female Patients With Fecal Incontinence: A Comparison of 3-Dimensional Transperineal Ultrasound and 2-Dimensional Endoanal Ultrasound. . 2012;55(6):646-652. doi: 10.1097/DCR.0b013e318251dca1