Anal Incontinence: Diagnosis by Endoanal US or Endovaginal MRI

Overview

Journal Eur Radiol

Specialty Radiology

Date 2004 Apr 6

PMID 15064853

Citations 2

Authors

Tarja Pinta

Marja-Leena Kylanpaa

Pekka Luukkonen

Erna Tapani

Arto Kivisaari

Leena Kivisaari

Affiliations

Soon will be listed here.

Abstract

Preoperative evaluation was made of the diagnostic value of endoanal ultrasound (EAUS) and endovaginal magnetic resonance imaging (EVMRI) in diagnosing anal sphincter defects as the cause of anal incontinence. Nineteen female individuals with anal incontinence were examined clinically with EAUS and with EVMRI at 1.5 T using a prostatic coil. The findings were evaluated independently and compared with findings at surgery. In diagnosing external anal sphincter defects, EAUS and EVMRI showed almost similar agreement with surgical findings, 12 (63%) out of 19 vs 11 (58%), respectively. Internal anal sphincter defects were equally detected by EAUS and EVMRI as compared with surgical diagnosis. There was considerable variation between radiologists in diagnosing defects by EVMRI. EAUS and EVMRI are equal in diagnosing anal sphincter defects.

Citing Articles

Diagnostic precision of endoanal MRI in the detection of anal sphincter pathology: a meta-analysis.

Tan E, Anstee A, Koh D, Gedroyc W, Tekkis P Int J Colorectal Dis. 2008; 23(6):641-51.

PMID: 18330582 DOI: 10.1007/s00384-008-0449-5.

The current role of imaging techniques in faecal incontinence.

Terra M, Stoker J Eur Radiol. 2006; 16(8):1727-36.

PMID: 16688456 DOI: 10.1007/s00330-006-0225-2.

References

Damon H, Henry L, Barth X, Mion F . Fecal incontinence in females with a past history of vaginal delivery: significance of anal sphincter defects detected by ultrasound. Dis Colon Rectum. 2002; 45(11):1445-50; discussion 1450-1. DOI: 10.1007/s10350-004-6448-x. View

Stoker J, Hussain S, Lameris J . Endoanal magnetic resonance imaging versus endosonography. Radiol Med. 1996; 92(6):738-41. View

Briel J, Stoker J, Rociu E, Lameris J, Hop W, Schouten W . External anal sphincter atrophy on endoanal magnetic resonance imaging adversely affects continence after sphincteroplasty. Br J Surg. 1999; 86(10):1322-7. DOI: 10.1046/j.1365-2168.1999.01244.x. View

Hussain S, Stoker J, Lameris J . Anal sphincter complex: endoanal MR imaging of normal anatomy. Radiology. 1995; 197(3):671-7. DOI: 10.1148/radiology.197.3.7480737. View

Rociu E, Stoker J, Zwamborn A, Lameris J . Endoanal MR imaging of the anal sphincter in fecal incontinence. Radiographics. 1999; 19 Spec No:S171-7. DOI: 10.1148/radiographics.19.suppl_1.g99oc02s171. View

Landis J, Koch G . An application of hierarchical kappa-type statistics in the assessment of majority agreement among multiple observers. Biometrics. 1977; 33(2):363-74. View

Frudinger A, Halligan S, Bartram C, Spencer J, Kamm M . Changes in anal anatomy following vaginal delivery revealed by anal endosonography. Br J Obstet Gynaecol. 1999; 106(3):233-7. DOI: 10.1111/j.1471-0528.1999.tb08236.x. View

Schafer A, Enck P, Furst G, Kahn T, Frieling T, Lubke H . Anatomy of the anal sphincters. Comparison of anal endosonography to magnetic resonance imaging. Dis Colon Rectum. 1994; 37(8):777-81. DOI: 10.1007/BF02050142. View

JORGE J, Wexner S . Etiology and management of fecal incontinence. Dis Colon Rectum. 1993; 36(1):77-97. DOI: 10.1007/BF02050307. View

10.

Tan I, Stoker J, Zwamborn A, Entius K, Calame J, Lameris J . Female pelvic floor: endovaginal MR imaging of normal anatomy. Radiology. 1998; 206(3):777-83. DOI: 10.1148/radiology.206.3.9494501. View

11.

Fletcher J, Busse R, Riederer S, Hough D, Gluecker T, Harper C . Magnetic resonance imaging of anatomic and dynamic defects of the pelvic floor in defecatory disorders. Am J Gastroenterol. 2003; 98(2):399-411. DOI: 10.1111/j.1572-0241.2003.07235.x. View

12.

Sultan A, Kamm M, Hudson C, Bartram C . Third degree obstetric anal sphincter tears: risk factors and outcome of primary repair. BMJ. 1994; 308(6933):887-91. PMC: 2539832. DOI: 10.1136/bmj.308.6933.887. View

13.

Beets-Tan R, Morren G, Beets G, Kessels A, el Naggar K, Lemaire E . Measurement of anal sphincter muscles: endoanal US, endoanal MR imaging, or phased-array MR imaging? A study with healthy volunteers. Radiology. 2001; 220(1):81-9. DOI: 10.1148/radiology.220.1.r01jn1481. View

14.

Bartram C, Sultan A . Anal endosonography in faecal incontinence. Gut. 1995; 37(1):4-6. PMC: 1382758. DOI: 10.1136/gut.37.1.4. View

15.

Muller-Schimpfle M, Franz H, Lobinger B, Claussen C . [High-resolution magnetic resonance tomography of the anal sphincter using an intravaginal surface coil]. Rofo. 1995; 162(6):478-81. DOI: 10.1055/s-2007-1015921. View

16.

Sudol-Szopinska I, Jakubowski W, Szczepkowski M, Sarti D . Usefulness of hydrogen peroxide enhancement in diagnosis of anal and ano-vaginal fistulas. Eur Radiol. 2003; 13(5):1080-4. DOI: 10.1007/s00330-002-1560-6. View

17.

Williams A, Bartram C, Halligan S, Marshall M, Nicholls R, Kmiot W . Endosonographic anatomy of the normal anal canal compared with endocoil magnetic resonance imaging. Dis Colon Rectum. 2002; 45(2):176-83. DOI: 10.1007/s10350-004-6140-1. View

18.

de Leeuw J, Vierhout M, Struijk P, Auwerda H, Bac D, Wallenburg H . Anal sphincter damage after vaginal delivery: relationship of anal endosonography and manometry to anorectal complaints. Dis Colon Rectum. 2002; 45(8):1004-10. DOI: 10.1007/s10350-004-6351-5. View

19.

Parks A . Royal Society of Medicine, Section of Proctology; Meeting 27 November 1974. President's Address. Anorectal incontinence. Proc R Soc Med. 1975; 68(11):681-90. PMC: 1864210. DOI: 10.1177/003591577506801105. View

20.

Aronson M, Lee R, Berquist T . Anatomy of anal sphincters and related structures in continent women studied with magnetic resonance imaging. Obstet Gynecol. 1990; 76(5 Pt 1):846-51. DOI: 10.1097/00006250-199011000-00025. View