- Title
- Transperineal ultrasound in the assessment of haemorrhoids and haemorrhoidectomy: a pilot study
- Creator
- Zbar, A. P.; Murison, R.
- Relation
- Techniques in Coloproctology Vol. 14, Issue 2, p. 175-179
- Publisher Link
- http://dx.doi.org/10.1007/s10151-010-0572-5
- Publisher
- Springer
- Resource Type
- journal article
- Date
- 2010
- Description
- Background: The purpose of the study was the measurement of the anal cushion area using static transperineal ultrasound in a group of patients with symptomatic grade III and IV haemorrhoids about to undergo haemorrhoidectomy and compare them with a group of age-matched normals and the measured area following haemorrhoidectomy. Methods: Transperineal sonography was performed using a linear transducer measuring the anal cushion area by subtracting the measured luminal diameter of the undisturbed anal canal from the inner border of the internal anal sphincter. Measures were made 6 weeks following haemorrhoidectomy. Results: Comparisons were made between 22 normals and 36 patients with haemorrhoids (31 evaluable post-operatively). The median area of normals was 0.78 cm², that of pre-operative patients 2.25 cm² and that of post-operative cases 1.20 cm². There was a significant difference between pre- and post-operative cases with cushion areas of normal patients being significantly lower than post-operative cases. Variance of measurement in all 3 groups was negligible. Conclusion: Static transperineal sonography measuring the anal cushion area is reproducible and shows marked differences between normals and patients with symptomatic haemorrhoids. There is a marked effect on measured area resultant from haemorrhoidectomy.
- Subject
- transperineal ultrasound; haemorrhoids; haemorrhoidectomy; anal cushion area
- Identifier
- uon:9661
- Identifier
- http://hdl.handle.net/1959.13/923144
- Identifier
- ISSN:1123-6337
- Reviewed
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