Evaluation of Pelvic Floor Dysfunction by Pelvic Floor Ultrasonography after Total Hysterectomy for Cervical Cancer

Objective. To study the value of pelvic floor ultrasonography in evaluating pelvic floor dysfunction (PFD) after total hysterectomy for cervical cancer. Methods. All the enrolled patients were given 4D pelvic floor ultrasound examination before and after surgery. The results of ultrasonic examinatio...

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Published in:Scanning 2022, Vol.2022, p.5914344-4
Main Authors: Liu, Dan-dan, Xin, Jing, Liu, Wei, Zhang, Yan-feng, Li, Peishan
Format: Article
Language:English
Subjects:
Bladder
Cancer
Cancer surgery
Cervical cancer
Evaluation
Female
Gynecology
Humans
Hysterectomy
Hysterectomy - adverse effects
Muscles
Neck
Pelvic Floor - diagnostic imaging
Pelvic Floor - physiology
Pelvic organ prolapse
Pelvis
Physiology
Quality of Life
Rotation
Software
Statistical analysis
Surgery
Tumors
Ultrasonic imaging
Ultrasonic testing
Ultrasonography - methods
Urinary incontinence
Urine
Urogenital system
Uterine Cervical Neoplasms - diagnostic imaging
Uterine Cervical Neoplasms - surgery
Vagina
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Xin, Jing
Liu, Wei
Zhang, Yan-feng
Li, Peishan
description Objective. To study the value of pelvic floor ultrasonography in evaluating pelvic floor dysfunction (PFD) after total hysterectomy for cervical cancer. Methods. All the enrolled patients were given 4D pelvic floor ultrasound examination before and after surgery. The results of ultrasonic examination and the parameters of four-dimensional ultrasonic examination before and after surgery were analyzed, and the quality of life of the patients before and after surgery was evaluated. Results. Postoperatively, the posterior angle of bladder and urethra, the rotation angle of urethra, the decreased value of bladder neck, and the distance between bladder neck and pubic symphysis were (122.60±9.53)°, (136.47±14.67)°, (58.90±18.19)°, (18.14±7.32) mm, and (2.76±0.46) cm, significantly greater than the preoperative (89.90±9.59)°, (107.30±9.96)°, (27.59±10.96)°, (13.27±5.69) mm, and (2.24±0.21) cm (P
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To study the value of pelvic floor ultrasonography in evaluating pelvic floor dysfunction (PFD) after total hysterectomy for cervical cancer. Methods. All the enrolled patients were given 4D pelvic floor ultrasound examination before and after surgery. The results of ultrasonic examination and the parameters of four-dimensional ultrasonic examination before and after surgery were analyzed, and the quality of life of the patients before and after surgery was evaluated. Results. Postoperatively, the posterior angle of bladder and urethra, the rotation angle of urethra, the decreased value of bladder neck, and the distance between bladder neck and pubic symphysis were (122.60±9.53)°, (136.47±14.67)°, (58.90±18.19)°, (18.14±7.32) mm, and (2.76±0.46) cm, significantly greater than the preoperative (89.90±9.59)°, (107.30±9.96)°, (27.59±10.96)°, (13.27±5.69) mm, and (2.24±0.21) cm (P&lt;0.05). Postoperative detrusor muscle thickness, bladder neck movement, residual urine volume, and bladder rotation angle (4.48±0.82) mm, (0.64±0.17) cm, (12.82±2.69) ml, (12.11±2.43)° were significantly higher than those of preoperative (3.70±0.64) mm, (0.43±0.18) cm, (4.83±1.07) ml, (4.30−1.19)° (P&lt;0.05). The scores of emotional function, psychological function, social function, and physiological function were (2.35±0.75) points, (2.45±0.66) points, (2.30±0.77) points, and (2.19±0.71) points, significantly higher than those of (1.01±0.50) points, (1.25±0.54) points, and (1.00±0.57) points before surgery, (1.05±0.46) (P&lt;0.05). Conclusions. The application of pelvic floor ultrasonography to detect pelvic floor dysfunction after total hysterectomy can clearly display the anatomical structure of the pelvic floor, which is conducive to disease prevention and treatment. Four-dimensional pelvic floor ultrasound can clearly show the postoperative pelvic floor function, which is worthy of clinical promotion and reference.</description><identifier>ISSN: 0161-0457</identifier><identifier>EISSN: 1932-8745</identifier><identifier>DOI: 10.1155/2022/5914344</identifier><identifier>PMID: 36247719</identifier><language>eng</language><publisher>England: Hindawi</publisher><subject>Bladder ; Cancer ; Cancer surgery ; Cervical cancer ; Evaluation ; Female ; Gynecology ; Humans ; Hysterectomy ; Hysterectomy - adverse effects ; Muscles ; Neck ; Pelvic Floor - diagnostic imaging ; Pelvic Floor - physiology ; Pelvic organ prolapse ; Pelvis ; Physiology ; Quality of Life ; Rotation ; Software ; Statistical analysis ; Surgery ; Tumors ; Ultrasonic imaging ; Ultrasonic testing ; Ultrasonography - methods ; Urinary incontinence ; Urine ; Urogenital system ; Uterine Cervical Neoplasms - diagnostic imaging ; Uterine Cervical Neoplasms - surgery ; Vagina</subject><ispartof>Scanning, 2022, Vol.2022, p.5914344-4</ispartof><rights>Copyright © 2022 Dan-dan Liu et al.</rights><rights>Copyright © 2022 Dan-dan Liu et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2022 Dan-dan Liu et al. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-f70120532eec2e5e1ab75ffeaeb046ad9160eaabda28a03a3f8ee7ede2152fe63</citedby><cites>FETCH-LOGICAL-c448t-f70120532eec2e5e1ab75ffeaeb046ad9160eaabda28a03a3f8ee7ede2152fe63</cites><orcidid>0000-0002-8714-7616 ; 0000-0002-0037-063X ; 0000-0002-5387-7223 ; 0000-0002-6065-3455 ; 0000-0001-5922-893X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36247719$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Pelusi, Danilo</contributor><contributor>Danilo Pelusi</contributor><creatorcontrib>Liu, Dan-dan</creatorcontrib><creatorcontrib>Xin, Jing</creatorcontrib><creatorcontrib>Liu, Wei</creatorcontrib><creatorcontrib>Zhang, Yan-feng</creatorcontrib><creatorcontrib>Li, Peishan</creatorcontrib><title>Evaluation of Pelvic Floor Dysfunction by Pelvic Floor Ultrasonography after Total Hysterectomy for Cervical Cancer</title><title>Scanning</title><addtitle>Scanning</addtitle><description>Objective. To study the value of pelvic floor ultrasonography in evaluating pelvic floor dysfunction (PFD) after total hysterectomy for cervical cancer. Methods. All the enrolled patients were given 4D pelvic floor ultrasound examination before and after surgery. The results of ultrasonic examination and the parameters of four-dimensional ultrasonic examination before and after surgery were analyzed, and the quality of life of the patients before and after surgery was evaluated. Results. Postoperatively, the posterior angle of bladder and urethra, the rotation angle of urethra, the decreased value of bladder neck, and the distance between bladder neck and pubic symphysis were (122.60±9.53)°, (136.47±14.67)°, (58.90±18.19)°, (18.14±7.32) mm, and (2.76±0.46) cm, significantly greater than the preoperative (89.90±9.59)°, (107.30±9.96)°, (27.59±10.96)°, (13.27±5.69) mm, and (2.24±0.21) cm (P&lt;0.05). Postoperative detrusor muscle thickness, bladder neck movement, residual urine volume, and bladder rotation angle (4.48±0.82) mm, (0.64±0.17) cm, (12.82±2.69) ml, (12.11±2.43)° were significantly higher than those of preoperative (3.70±0.64) mm, (0.43±0.18) cm, (4.83±1.07) ml, (4.30−1.19)° (P&lt;0.05). The scores of emotional function, psychological function, social function, and physiological function were (2.35±0.75) points, (2.45±0.66) points, (2.30±0.77) points, and (2.19±0.71) points, significantly higher than those of (1.01±0.50) points, (1.25±0.54) points, and (1.00±0.57) points before surgery, (1.05±0.46) (P&lt;0.05). Conclusions. The application of pelvic floor ultrasonography to detect pelvic floor dysfunction after total hysterectomy can clearly display the anatomical structure of the pelvic floor, which is conducive to disease prevention and treatment. Four-dimensional pelvic floor ultrasound can clearly show the postoperative pelvic floor function, which is worthy of clinical promotion and reference.</description><subject>Bladder</subject><subject>Cancer</subject><subject>Cancer surgery</subject><subject>Cervical cancer</subject><subject>Evaluation</subject><subject>Female</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Hysterectomy - adverse effects</subject><subject>Muscles</subject><subject>Neck</subject><subject>Pelvic Floor - diagnostic imaging</subject><subject>Pelvic Floor - physiology</subject><subject>Pelvic organ prolapse</subject><subject>Pelvis</subject><subject>Physiology</subject><subject>Quality of Life</subject><subject>Rotation</subject><subject>Software</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Tumors</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonic testing</subject><subject>Ultrasonography - methods</subject><subject>Urinary incontinence</subject><subject>Urine</subject><subject>Urogenital system</subject><subject>Uterine Cervical Neoplasms - diagnostic imaging</subject><subject>Uterine Cervical Neoplasms - surgery</subject><subject>Vagina</subject><issn>0161-0457</issn><issn>1932-8745</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kc1v1DAQxS0EosvCjTOKxAWphPozTi6V0LalSJXg0J6tiTPupvLGi50syn-Pl10qyoHTaPR-8zQzj5C3jH5iTKkzTjk_Uw2TQspnZMEawctaS_WcLCirWEml0ifkVUoPlFLe1OwlOREVl1qzZkHS5Q78BGMfhiK44jv6XW-LKx9CLC7m5KbB_tba-al258cIKQzhPsJ2PRfgRozFbRjBF9dzyg3aMWzmwmV4hTFPZmUFg8X4mrxw4BO-OdYlubu6vF1dlzffvnxdfb4prZT1WDpNGadKcETLUSGDVivnELClsoKuYRVFgLYDXgMVIFyNqLFDzhR3WIklOT_4bqd2g53FIe_szTb2G4izCdCbp8rQr8192JlGCanzQ5fkw9Eghh8TptFs-mTRexgwTMlwzZWUomI0o-__QR_CFId83p7ijWaVYJn6eKBsDClFdI_LMGr2aZp9muaYZsbf_X3AI_wnvgycHoB1P3Tws_-_3S-Fbao4</recordid><startdate>2022</startdate><enddate>2022</enddate><creator>Liu, Dan-dan</creator><creator>Xin, Jing</creator><creator>Liu, Wei</creator><creator>Zhang, Yan-feng</creator><creator>Li, Peishan</creator><general>Hindawi</general><general>Hindawi Limited</general><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7U5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>L6V</scope><scope>L7M</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8714-7616</orcidid><orcidid>https://orcid.org/0000-0002-0037-063X</orcidid><orcidid>https://orcid.org/0000-0002-5387-7223</orcidid><orcidid>https://orcid.org/0000-0002-6065-3455</orcidid><orcidid>https://orcid.org/0000-0001-5922-893X</orcidid></search><sort><creationdate>2022</creationdate><title>Evaluation of Pelvic Floor Dysfunction by Pelvic Floor Ultrasonography after Total Hysterectomy for Cervical Cancer</title><author>Liu, Dan-dan ; Xin, Jing ; Liu, Wei ; Zhang, Yan-feng ; Li, Peishan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-f70120532eec2e5e1ab75ffeaeb046ad9160eaabda28a03a3f8ee7ede2152fe63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Bladder</topic><topic>Cancer</topic><topic>Cancer surgery</topic><topic>Cervical cancer</topic><topic>Evaluation</topic><topic>Female</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Hysterectomy - adverse effects</topic><topic>Muscles</topic><topic>Neck</topic><topic>Pelvic Floor - diagnostic imaging</topic><topic>Pelvic Floor - physiology</topic><topic>Pelvic organ prolapse</topic><topic>Pelvis</topic><topic>Physiology</topic><topic>Quality of Life</topic><topic>Rotation</topic><topic>Software</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Tumors</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonic testing</topic><topic>Ultrasonography - methods</topic><topic>Urinary incontinence</topic><topic>Urine</topic><topic>Urogenital system</topic><topic>Uterine Cervical Neoplasms - diagnostic imaging</topic><topic>Uterine Cervical Neoplasms - surgery</topic><topic>Vagina</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Dan-dan</creatorcontrib><creatorcontrib>Xin, Jing</creatorcontrib><creatorcontrib>Liu, Wei</creatorcontrib><creatorcontrib>Zhang, Yan-feng</creatorcontrib><creatorcontrib>Li, Peishan</creatorcontrib><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>Health &amp; 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To study the value of pelvic floor ultrasonography in evaluating pelvic floor dysfunction (PFD) after total hysterectomy for cervical cancer. Methods. All the enrolled patients were given 4D pelvic floor ultrasound examination before and after surgery. The results of ultrasonic examination and the parameters of four-dimensional ultrasonic examination before and after surgery were analyzed, and the quality of life of the patients before and after surgery was evaluated. Results. Postoperatively, the posterior angle of bladder and urethra, the rotation angle of urethra, the decreased value of bladder neck, and the distance between bladder neck and pubic symphysis were (122.60±9.53)°, (136.47±14.67)°, (58.90±18.19)°, (18.14±7.32) mm, and (2.76±0.46) cm, significantly greater than the preoperative (89.90±9.59)°, (107.30±9.96)°, (27.59±10.96)°, (13.27±5.69) mm, and (2.24±0.21) cm (P&lt;0.05). Postoperative detrusor muscle thickness, bladder neck movement, residual urine volume, and bladder rotation angle (4.48±0.82) mm, (0.64±0.17) cm, (12.82±2.69) ml, (12.11±2.43)° were significantly higher than those of preoperative (3.70±0.64) mm, (0.43±0.18) cm, (4.83±1.07) ml, (4.30−1.19)° (P&lt;0.05). The scores of emotional function, psychological function, social function, and physiological function were (2.35±0.75) points, (2.45±0.66) points, (2.30±0.77) points, and (2.19±0.71) points, significantly higher than those of (1.01±0.50) points, (1.25±0.54) points, and (1.00±0.57) points before surgery, (1.05±0.46) (P&lt;0.05). Conclusions. The application of pelvic floor ultrasonography to detect pelvic floor dysfunction after total hysterectomy can clearly display the anatomical structure of the pelvic floor, which is conducive to disease prevention and treatment. Four-dimensional pelvic floor ultrasound can clearly show the postoperative pelvic floor function, which is worthy of clinical promotion and reference.</abstract><cop>England</cop><pub>Hindawi</pub><pmid>36247719</pmid><doi>10.1155/2022/5914344</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-8714-7616</orcidid><orcidid>https://orcid.org/0000-0002-0037-063X</orcidid><orcidid>https://orcid.org/0000-0002-5387-7223</orcidid><orcidid>https://orcid.org/0000-0002-6065-3455</orcidid><orcidid>https://orcid.org/0000-0001-5922-893X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Bladder
Cancer
Cancer surgery
Cervical cancer
Evaluation
Female
Gynecology
Humans
Hysterectomy
Hysterectomy - adverse effects
Muscles
Neck
Pelvic Floor - diagnostic imaging
Pelvic Floor - physiology
Pelvic organ prolapse
Pelvis
Physiology
Quality of Life
Rotation
Software
Statistical analysis
Surgery
Tumors
Ultrasonic imaging
Ultrasonic testing
Ultrasonography - methods
Urinary incontinence
Urine
Urogenital system
Uterine Cervical Neoplasms - diagnostic imaging
Uterine Cervical Neoplasms - surgery
Vagina
title Evaluation of Pelvic Floor Dysfunction by Pelvic Floor Ultrasonography after Total Hysterectomy for Cervical Cancer
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