Transperineal Sonography Evaluation of Muscles and Vascularity in the Male Pelvic Floor

Overview

Journal J Diagn Med Sonogr

Date 2013 Jul 2

PMID 23814769

Citations 4

Authors

Shawn C Roll

Jason J Kutch

Affiliations

Soon will be listed here.

Abstract

Idiopathic chronic male pelvic pain is difficult to diagnose and treat. Currently, diagnosis relies on subjective symptoms; objective measures of neuromuscular mechanisms have not been investigated. Sonographic imaging has been used to investigate these neuromuscular mechanisms in the female pelvic floor, but neither research nor books describe sonography evaluation of the male pelvic floor. The purpose of this study was to develop and evaluate a perineal sonographic technique for the examination of the male pelvic floor muscles. Anatomic landmarks were identified with images collected from two subjects, one with intermittent reports of pelvic pain and one with no history of pain in the pelvic region. A description of the equipment settings, the examination protocol, and the resulting comparative image analysis is included. A validated protocol such as this may be useful in documenting differences in the soft tissue structures between asymptomatic individuals and patients with chronic pelvic pain to aid in diagnosis and treatment. This is the first known study to report sonographic findings of the individual muscles in the male pelvic floor, and additional research is needed to validate the techniques that have been deemed feasible.

Citing Articles

The Role of Rehabilitative Ultrasound Imaging Technique in the Lumbopelvic Region as a Diagnosis and Treatment Tool in Physiotherapy: Systematic Review, Meta-Analysis and Meta-Regression.

Fernandez-Carnero S, Martin-Saborido C, Achalandabaso Ochoa-Ruiz de Mendoza A, Ferragut-Garcias A, Cuenca-Zaldivar J, Leal-Quinones A J Clin Med. 2021; 10(23).

PMID: 34884401 PMC: 8658262. DOI: 10.3390/jcm10235699.

Clinical utilization of musculoskeletal sonography involving non-physician rehabilitation providers: a scoping review.

Roll S, Asai C, Tsai J Eur J Phys Rehabil Med. 2015; 52(2):253-62.

PMID: 26201705 PMC: 4715790.

Can 3D power Doppler identify levator ani vascularization at its pubic insertion?.

Garriga J, Quintas Marques L, Pessarrodona Isern A, Lopez Quesada E, Rodriguez Carballeira M, Badia Carrasco A Int Urogynecol J. 2015; 26(9):1327-32.

PMID: 25822029 DOI: 10.1007/s00192-015-2689-6.

Reliability of superficial male pelvic floor structural measurements using linear-array transperineal sonography.

Roll S, Rana M, Sigward S, Yani M, Kirages D, Kutch J Ultrasound Med Biol. 2014; 41(2):610-7.

PMID: 25444690 PMC: 4297525. DOI: 10.1016/j.ultrasmedbio.2014.09.008.

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