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C-1227 - Female pelvic floor dysfunction: the invaluable role of ultrasound.  

P. Aparisi Gomez1, S. Watkin1, A. Bazzocchi2, J. Kelly1, C. Chan1, D. Perry1; 1 Auckland/NZ 2 Bologna/IT Type: Educational Exhibit
Area of Interests: Pelvis, Obstetrics (Pregnancy / birth / postnatal period), Urinary Tract / Bladder
Imaging Techniques: Image manipulation / Reconstruction, Ultrasound, MR
Procedure: Diagnostic procedure
Special Focus: Pelvic floor dysfunction
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Learning objectives:  The purposes of this education exhibit are: - To describe the normal anatomy and functionality of pelvic floor structures on ultrasound. - To describe the indications, technique and protocol used for pelvic floor assessment with 2D, 3D and 4D ultrasound. - To illustrate some of the most c[...]

Background: Pelvic floor disorders affect nearly one in four women in the US (23,7%)1, with huge impact of quality of life and a very important annual surgical cost (estimated in $1 billion annually in the US)2. Prolapse is one of the most common indications for gynaecologic surgery3. In countries in developmen[...]

Findings and procedure details: ANTERIOR COMPARTMENT   Bladder neck and posterior leading edge of the bladder descent are quantified with the purpose of assessing for the presence of a cystocoele.     There are two types of cystocoele with very different functional implications. The difference is established by the [...]

Conclusion:  Pelvic floor failure is complex and usually generalised, and the three compartments need to be assessed simultaneously. The increasing availability of imaging techniques has triggered a renewed interest in diagnostic imaging in female urogynecology.  Ultrasound, as well and MR with d[...]

Personal information: Corresponding author: Pilar Aparisi Gomez, MBChB, FRANZCR Department of Radiology / Department of Ultrasound. National Women's Hospital, Auckland District Health Board; 2 Park Road, Grafton, 1023 Auckland, New Zealand Department of Radiology. Hospital Nueve de Octubre; Calle Valle de la Ballestera[...]

References: 1. Nygaard I, Bradley C, Brandt D; Women's Health Initiative.. Pelvic organ prolapse in older women: prevalence and risk factors. Obstet Gynecol. 2004 Sep;104(3):489-97. 2. Wilson L, Brown JS, Shin GP, Luc KO, Subak LL. Annual direct cost of urinary incontinence. Obstet Gynecol. 2001 Sep;98(3[...]

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