A5006034700- Pelvic floor disorders treatments
- Anorectal Disease Treatments and Outcomes
- Pelvic and Acetabular Injuries
- Diverticular Disease and Complications
- Urinary Bladder and Prostate Research
- Urinary Tract Infections Management
- Ureteral procedures and complications
- Pregnancy-related medical research
- Infant Health and Development
- Urological Disorders and Treatments
- Trauma and Emergency Care Studies
- Injury Epidemiology and Prevention
The University of Sydney
2017-2022
Nepean Hospital
2016-2019
WaterNSW
2018
Pregnancy and childbirth are thought to be the strongest environmental risk factors for pelvic organ prolapse, but prolapse does occur in nulliparae.To characterise vaginal nulliparae.This was a retrospective study using archived clinical imaging data of 368 vaginally nulliparous women seen between 2006 2017 at two tertiary urogynaecological centres. Patients underwent standardised interview, examination 3D/4D translabial ultrasound. Volume datasets were analysed by second author, blinded...
ABSTRACT Objective To assess the predictive value of measures levator hiatal distension at rest and on maximum Valsalva maneuver for symptoms vaginal laxity. Methods This was a retrospective study women seen tertiary urogynecological unit. All underwent standardized interview, clinical examination four‐dimensional translabial ultrasound examination. Area, anteroposterior diameter (APD) coronal (CD) hiatus were measured in plane minimal dimensions using rendered volume technique, by an...
ABSTRACT Objective Three‐/four‐dimensional translabial ultrasound (TLUS) is gaining popularity for the assessment of anal sphincter trauma, although repeatability data are lacking. This study aimed to determine tomographic imaging (TUI) on TLUS diagnosis external (EAS) trauma and compare performance a novice with that an experienced investigator. Methods was retrospective archived datasets patients who presented symptoms pelvic floor dysfunction were examined twice between 2012 2016 at...
Objectives Translabial ultrasound (US) imaging is an emerging method for the evaluation of pelvic organ prolapse (POP). Normative data to date are limited in supine position. The purpose this study was evaluate effect posture changes on US mobility. Methods This work a retrospective 175 women seen tertiary urogynecologic center symptoms lower urinary tract and floor dysfunction. All underwent standardized interview, POP quantification assessment, 4‐dimensional translabial examination...
Background Pelvic organ prolapse (POP) is a common chronic health issue. Pessary rings are used for conservative management. To date, there little evidence on objective anatomical findings as predictors of successful ring pessary Aim determine any association between history, clinical and four‐dimensional translabial ultrasound (TLUS)/pelvic floor examination success. Materials Methods From November 2013 to 1015, all new patients presenting with symptomatic tertiary urogynaecological unit...
Objectives Pelvic organ prolapse is very common among women in Nepal, especially uterine prolapse. This would suggest a high rate of levator trauma, which strong predictor such the Western world. Hence, we decided to study prevalence maternal birth trauma Nepali women. Methods In November 2016, offered an interview, clinical examination, and 4‐dimensional translabial sonography attending gynecology clinic. Of 129 seen, 5 were excluded due previous pelvic surgery. Translabial volume data sets...
Objectives Three‐/four‐dimensional translabial ultrasound (US) is increasingly used to image the levator ani and anal sphincters, especially in form of tomographic US. The aim study was evaluate validity these published methods. Methods This work a retrospective analysis datasets 172 nulliparous women who attended 2 tertiary urogynecologic centers for symptoms pelvic floor dysfunction between June 2012 September 2016. All patients had standardized interview, clinical examination,...
Abstract Aim To investigate whether pelvic floor muscle (PFM) morphological changes obtained through four‐dimensional translabial ultrasound (4D TLUS) correlate with a PFM contraction as evaluated by digital palpation and electromyographic activity surface electromyography (sEMG). The secondary objective was to which parameter is more strongly associated palpation. Methods This cross‐sectional study included 210 women their PFMs were (graded according the Modified Oxford Scale), sEMG 4D...
Exoanal 4-dimensional translabial ultrasound (TLUS) is increasingly used to image the anal sphincter. The aim of this study was define limits normality for assessment external and internal sphincters with TLUS.This a retrospective analysis using data sets nulliparous women seen antenatally. All had TLUS examination at mean gestational age ± SD 36 0.7 (range, 32.9-37.3) weeks. Anal sphincter biometry, including (EAS) length thickness, EAS proximal rotational asymmetry, assessed blinded...
To evaluate the effect of posture change on commonly measured ultrasound parameters pelvic organ support. This was a prospective study 175 women seen for symptoms floor dysfunction. All underwent 4D TLUS supine and standing. Offline measurement cystocele, uterine descent, descent rectal ampulla hiatal area Valsalva were undertaken at later date, blinded against all other data. Measurements performed volume data sets obtained maximal valsalva in standing positions. Mean age 58 years (range...
Anecdotal evidence suggests that there is a high prevalence of female pelvic organ prolapse in Nepali women. However, to date, no comprehensive assessment floor functional anatomy has been undertaken this population. In November 2016, the first and second author travelled Nepal offer an interview, clinical examination (ICS POPQ) 4D translabial ultrasound all women attending general Gynecology clinic. Written consent was obtained. 43 (33%) presented with pain, 30 (23%) vaginal discharge, 40...
Prevalence of levator and sphincter trauma in Nepali women has not been studied the past. The high prevalence prolapse Nepalese would suggest a rate avulsion which is strong predictor prolapse. In November 2016, first second author travelled to Nepal offer an interview, clinical examination (POPQ) 4D translabial ultrasound attending Gynecology clinic. Of 129 seen, 16 (12%) presented with symptoms pelvic floor dysfunction (urinary incontinence 3 (2%), obstructed defecation 10 (8%)). these...
Digitation to void is defined as the need apply manual pressure on perineum or vagina assist with voiding. It has been associated prolapse; however, there little objective data concerning this symptom. Our aim was determine correlation between digitation void, symptoms and signs of pelvic organ prolapse (POP), urodynamic data.This a retrospective study that included total 1174 patients seen at tertiary urogynecological unit. A standardized history obtained from all followed by multichannel...
Vaginal laxity is a poorly-researched symptom of pelvic floor dysfunction, without consensus on etiology or diagnosis. This study was designed to assess the predictive value measures hiatal distension for such symptoms. retrospective based archived datasets. Patients underwent an interview, clinical examination and 4D transperineal ultrasound (TPUS). Symptom bother assessed using visual analogue scale. Hiatal area (HA), anteroposterior diameter (APD) coronal (CD) were measured at plane...