Pelvic floor muscle dysfunction on 3D/4D transperineal ultrasound in patients with deep infiltrating endometriosis: a pilot study

ABSTRACT 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‐dimens...

Full description

Saved in:
Bibliographic Details
Published in:Ultrasound in obstetrics & gynecology 2017-10, Vol.50 (4), p.527-532
Main Authors: Raimondo, D., Youssef, A., Mabrouk, M., Del Forno, S., Martelli, V., Pilu, G., Rizzo, N., Zannoni, L., Paradisi, R., Seracchioli, R.
Format: Article
Language:English
Subjects:
3D transperineal ultrasound
4D transperineal ultrasound
Adult
Cardiac arrhythmia
Contraction
deep infiltrating endometriosis
Endometriosis
Endometriosis - diagnostic imaging
Endometriosis - physiopathology
Enlargement
Female
Humans
Imaging, Three-Dimensional - methods
Morphometry
Muscle contraction
Muscle Contraction - physiology
Pain
Pelvic Floor - diagnostic imaging
Pelvic Floor - physiopathology
pelvic floor muscle
perineal dysfunction
Pilot Projects
Prospective Studies
Reproducibility of Results
Shoulder
Ultrasonic imaging
Ultrasonography
Ultrasound
Valsalva Maneuver - physiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:ABSTRACT 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 
ISSN:0960-7692
1469-0705
DOI:10.1002/uog.17323