E-Posters-Association between POP-Q Clinical Assessment Results and Manometric-Transperineal Ultrasonographic Findings in Patients with Fecal Incontinence and or Constipation

Association between POP-Q Clinical Assessment Results and Manometric-Transperineal Ultrasonographic Findings in Patients with Fecal Incontinence and or Constipation - Jonatan Olvera Delgado, MD

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The study examined the association between POP-Q clinical assessment results and manometric-transperineal ultrasonographic findings in patients with fecal incontinence and constipation. The researchers reviewed clinical files of patients evaluated in their unit from January 2018 to March 2019. They included patients with fecal incontinence and/or constipation diagnosis, POP-Q clinical assessment, transperineal and/or endoanal ultrasound studies, Wexner or KESS score, and demographic data.<br /><br />For fecal incontinence, endoanal ultrasound was used, while transperineal ultrasound was used for constipation. Manometry was performed following the London protocol. The results revealed that POP-Q clinical assessment is a valuable tool for selecting the appropriate imaging study for diagnosis in patients with fecal incontinence and constipation.<br /><br />A total of 21 patients were selected, 11 with fecal incontinence and 10 with constipation. Most patients had grade II pelvic organ prolapse according to the POP-Q clinical assessment. Rectocele was observed in both transperineal ultrasound and POP-Q assessment. A significant percentage of patients had urinary incontinence, and some had a history of abdominal hysterectomy or anorectal surgery.<br /><br />The findings from endoanal ultrasound showed sphincteric disruption in 38.09% of patients, with a mean Starck score of 6 in 33% of patients. Transperineal ultrasound revealed rectocele in 42.8% and cystocele in 23.8% of patients with constipation. Manometry findings showed that rectocele was associated with hypotony, hyposensitivity, and a type of dyssynergic defecation.<br /><br />In conclusion, the study demonstrated the association between POP-Q clinical assessment results and manometric-transperineal ultrasonographic findings in patients with fecal incontinence and constipation. The results can aid in the diagnosis and treatment of these conditions.

Keywords

POP-Q clinical assessment

manometric-transperineal ultrasonographic findings

fecal incontinence

constipation

clinical files

transperineal ultrasound

endoanal ultrasound

Wexner score

KESS score

demographic data