The added value of conventional defecography and MRI defecography in clinical decision making on treatment for posterior compartment prolapse
Introduction and hypothesis Conventional defecography and MRI defecography can be requested as an additional test for diagnosing and differentiating the type of posterior compartment prolapse and/or obstructive defecation disorders. The objective of this study was to determine the added value of con...
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| Veröffentlicht in: | International Urogynecology Journal 2023-02, Vol.34 (2), p.507-515 |
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| creator | Nijland, Dionne M. van Genugten, Linde T. Dekker, Karin S. Wagenmakers, Gert Jan Braak, Sicco J. Veenstra van Nieuwenhoven, Angelique L. van der Steen, Annemarie Grob, Anique T. M. |
| description | Introduction and hypothesis
Conventional defecography and MRI defecography can be requested as an additional test for diagnosing and differentiating the type of posterior compartment prolapse and/or obstructive defecation disorders. The objective of this study was to determine the added value of conventional defecography, conventional defecography and MRI defecography for clinical decision-making on treatment for patients with posterior compartment prolapse.
Methods
Four gynecologists were asked to fill in their treatment plan per patient for 32 cases for three different steps. Step 1 consisted of information on the anamnesis and physical examination (POP-Q). Step 2 consisted of Step 1, including conventional defecography (group A) or MRI defecography (group B). In Step 3, all gynecologists received the information on Step 1 including both conventional defecography and MRI defecography. Data analysis solely focused on the assessment of changes in the gynecological treatment plan of the posterior compartment.
Results
After Step 2 a change in treatment plan occurred in 37% and 48% of the women in groups A and B, respectively. Accordingly, after Step 3 (including all imaging data), a change in treatment plan occurred in 19% and 52% of the women in groups A and B, respectively. A change within the surgery group (when a different type of surgery was selected) was seen for a total of 11 cases in group A and 20 in group B in all steps combined.
Conclusions
Both conventional defecography and MRI defecography had an large effect on the treatment plan for patients with posterior compartment prolapse. The dedicated added value of the imaging modality individually cannot be concluded yet. |
| doi_str_mv | 10.1007/s00192-022-05181-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9870817</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2768578272</sourcerecordid><originalsourceid>FETCH-LOGICAL-c425t-b9c174a4bb9f4172756635eaefa6b51067224dc248ba3edd3e9d4064a8707473</originalsourceid><addsrcrecordid>eNp9kc1u1DAUhS0EokPhBVggS2zYBPwXO9kgoarQSkVIaPaWY9_MuCR2sJNR-xC8M27TFsqCheUrn-8eX_sg9JqS95QQ9SETQltWEVZWTRtaXT1BGyo4rzhh_CnakJarigvJjtCLnC8JIYLU5Dk64rUgvGn4Bv3a7gEb58DhgxkWwLHHNoYDhNnHYAbsoAcbd8lM-2tsgsNfv58_PvQB28EHb29p63NpxKP54cMOl2pOYOax-OE-JjzFPEPypbJxnExalSnFwUwZXqJnvRkyvLrbj9H28-n25Ky6-Pbl_OTTRWUFq-eqay1Vwoiua3tBFVO1lLwGA72RXU2JVIwJZ5loOsPBOQ6tE0QK0yiihOLH6ONqOy3dCM6WEZIZ9JT8aNK1jsbrx0rwe72LB90Wg4beGLy7M0jx5wJ51qPPFobBBIhL1kyKltVUMlLQt_-gl3FJ5WcLpWRTq4YpVii2UjbFnBP0D8NQom_C1mvYuoStb8PWV6Xpzd_PeGi5T7cAfAVykcIO0p-7_2P7G4OIuO0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2768578272</pqid></control><display><type>article</type><title>The added value of conventional defecography and MRI defecography in clinical decision making on treatment for posterior compartment prolapse</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Nijland, Dionne M. ; van Genugten, Linde T. ; Dekker, Karin S. ; Wagenmakers, Gert Jan ; Braak, Sicco J. ; Veenstra van Nieuwenhoven, Angelique L. ; van der Steen, Annemarie ; Grob, Anique T. M.</creator><creatorcontrib>Nijland, Dionne M. ; van Genugten, Linde T. ; Dekker, Karin S. ; Wagenmakers, Gert Jan ; Braak, Sicco J. ; Veenstra van Nieuwenhoven, Angelique L. ; van der Steen, Annemarie ; Grob, Anique T. M.</creatorcontrib><description>Introduction and hypothesis
Conventional defecography and MRI defecography can be requested as an additional test for diagnosing and differentiating the type of posterior compartment prolapse and/or obstructive defecation disorders. The objective of this study was to determine the added value of conventional defecography, conventional defecography and MRI defecography for clinical decision-making on treatment for patients with posterior compartment prolapse.
Methods
Four gynecologists were asked to fill in their treatment plan per patient for 32 cases for three different steps. Step 1 consisted of information on the anamnesis and physical examination (POP-Q). Step 2 consisted of Step 1, including conventional defecography (group A) or MRI defecography (group B). In Step 3, all gynecologists received the information on Step 1 including both conventional defecography and MRI defecography. Data analysis solely focused on the assessment of changes in the gynecological treatment plan of the posterior compartment.
Results
After Step 2 a change in treatment plan occurred in 37% and 48% of the women in groups A and B, respectively. Accordingly, after Step 3 (including all imaging data), a change in treatment plan occurred in 19% and 52% of the women in groups A and B, respectively. A change within the surgery group (when a different type of surgery was selected) was seen for a total of 11 cases in group A and 20 in group B in all steps combined.
Conclusions
Both conventional defecography and MRI defecography had an large effect on the treatment plan for patients with posterior compartment prolapse. The dedicated added value of the imaging modality individually cannot be concluded yet.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-022-05181-x</identifier><identifier>PMID: 35403883</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Clinical Decision-Making ; Constipation ; Defecation ; Defecography - methods ; Fecal incontinence ; Feces ; Female ; Gynecology ; Humans ; Magnetic Resonance Imaging - methods ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Patients ; Pelvic organ prolapse ; Pelvis ; Physiology ; Radiation ; Rectal Prolapse ; Rectum ; Small intestine ; Surgery ; Ultrasonic imaging ; Urology ; Vagina ; Visualization</subject><ispartof>International Urogynecology Journal, 2023-02, Vol.34 (2), p.507-515</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c425t-b9c174a4bb9f4172756635eaefa6b51067224dc248ba3edd3e9d4064a8707473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-022-05181-x$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-022-05181-x$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35403883$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nijland, Dionne M.</creatorcontrib><creatorcontrib>van Genugten, Linde T.</creatorcontrib><creatorcontrib>Dekker, Karin S.</creatorcontrib><creatorcontrib>Wagenmakers, Gert Jan</creatorcontrib><creatorcontrib>Braak, Sicco J.</creatorcontrib><creatorcontrib>Veenstra van Nieuwenhoven, Angelique L.</creatorcontrib><creatorcontrib>van der Steen, Annemarie</creatorcontrib><creatorcontrib>Grob, Anique T. M.</creatorcontrib><title>The added value of conventional defecography and MRI defecography in clinical decision making on treatment for posterior compartment prolapse</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
Conventional defecography and MRI defecography can be requested as an additional test for diagnosing and differentiating the type of posterior compartment prolapse and/or obstructive defecation disorders. The objective of this study was to determine the added value of conventional defecography, conventional defecography and MRI defecography for clinical decision-making on treatment for patients with posterior compartment prolapse.
Methods
Four gynecologists were asked to fill in their treatment plan per patient for 32 cases for three different steps. Step 1 consisted of information on the anamnesis and physical examination (POP-Q). Step 2 consisted of Step 1, including conventional defecography (group A) or MRI defecography (group B). In Step 3, all gynecologists received the information on Step 1 including both conventional defecography and MRI defecography. Data analysis solely focused on the assessment of changes in the gynecological treatment plan of the posterior compartment.
Results
After Step 2 a change in treatment plan occurred in 37% and 48% of the women in groups A and B, respectively. Accordingly, after Step 3 (including all imaging data), a change in treatment plan occurred in 19% and 52% of the women in groups A and B, respectively. A change within the surgery group (when a different type of surgery was selected) was seen for a total of 11 cases in group A and 20 in group B in all steps combined.
Conclusions
Both conventional defecography and MRI defecography had an large effect on the treatment plan for patients with posterior compartment prolapse. The dedicated added value of the imaging modality individually cannot be concluded yet.</description><subject>Clinical Decision-Making</subject><subject>Constipation</subject><subject>Defecation</subject><subject>Defecography - methods</subject><subject>Fecal incontinence</subject><subject>Feces</subject><subject>Female</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Patients</subject><subject>Pelvic organ prolapse</subject><subject>Pelvis</subject><subject>Physiology</subject><subject>Radiation</subject><subject>Rectal Prolapse</subject><subject>Rectum</subject><subject>Small intestine</subject><subject>Surgery</subject><subject>Ultrasonic imaging</subject><subject>Urology</subject><subject>Vagina</subject><subject>Visualization</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc1u1DAUhS0EokPhBVggS2zYBPwXO9kgoarQSkVIaPaWY9_MuCR2sJNR-xC8M27TFsqCheUrn-8eX_sg9JqS95QQ9SETQltWEVZWTRtaXT1BGyo4rzhh_CnakJarigvJjtCLnC8JIYLU5Dk64rUgvGn4Bv3a7gEb58DhgxkWwLHHNoYDhNnHYAbsoAcbd8lM-2tsgsNfv58_PvQB28EHb29p63NpxKP54cMOl2pOYOax-OE-JjzFPEPypbJxnExalSnFwUwZXqJnvRkyvLrbj9H28-n25Ky6-Pbl_OTTRWUFq-eqay1Vwoiua3tBFVO1lLwGA72RXU2JVIwJZ5loOsPBOQ6tE0QK0yiihOLH6ONqOy3dCM6WEZIZ9JT8aNK1jsbrx0rwe72LB90Wg4beGLy7M0jx5wJ51qPPFobBBIhL1kyKltVUMlLQt_-gl3FJ5WcLpWRTq4YpVii2UjbFnBP0D8NQom_C1mvYuoStb8PWV6Xpzd_PeGi5T7cAfAVykcIO0p-7_2P7G4OIuO0</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Nijland, Dionne M.</creator><creator>van Genugten, Linde T.</creator><creator>Dekker, Karin S.</creator><creator>Wagenmakers, Gert Jan</creator><creator>Braak, Sicco J.</creator><creator>Veenstra van Nieuwenhoven, Angelique L.</creator><creator>van der Steen, Annemarie</creator><creator>Grob, Anique T. M.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230201</creationdate><title>The added value of conventional defecography and MRI defecography in clinical decision making on treatment for posterior compartment prolapse</title><author>Nijland, Dionne M. ; van Genugten, Linde T. ; Dekker, Karin S. ; Wagenmakers, Gert Jan ; Braak, Sicco J. ; Veenstra van Nieuwenhoven, Angelique L. ; van der Steen, Annemarie ; Grob, Anique T. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-b9c174a4bb9f4172756635eaefa6b51067224dc248ba3edd3e9d4064a8707473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Clinical Decision-Making</topic><topic>Constipation</topic><topic>Defecation</topic><topic>Defecography - methods</topic><topic>Fecal incontinence</topic><topic>Feces</topic><topic>Female</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Patients</topic><topic>Pelvic organ prolapse</topic><topic>Pelvis</topic><topic>Physiology</topic><topic>Radiation</topic><topic>Rectal Prolapse</topic><topic>Rectum</topic><topic>Small intestine</topic><topic>Surgery</topic><topic>Ultrasonic imaging</topic><topic>Urology</topic><topic>Vagina</topic><topic>Visualization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nijland, Dionne M.</creatorcontrib><creatorcontrib>van Genugten, Linde T.</creatorcontrib><creatorcontrib>Dekker, Karin S.</creatorcontrib><creatorcontrib>Wagenmakers, Gert Jan</creatorcontrib><creatorcontrib>Braak, Sicco J.</creatorcontrib><creatorcontrib>Veenstra van Nieuwenhoven, Angelique L.</creatorcontrib><creatorcontrib>van der Steen, Annemarie</creatorcontrib><creatorcontrib>Grob, Anique T. M.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nijland, Dionne M.</au><au>van Genugten, Linde T.</au><au>Dekker, Karin S.</au><au>Wagenmakers, Gert Jan</au><au>Braak, Sicco J.</au><au>Veenstra van Nieuwenhoven, Angelique L.</au><au>van der Steen, Annemarie</au><au>Grob, Anique T. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The added value of conventional defecography and MRI defecography in clinical decision making on treatment for posterior compartment prolapse</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>34</volume><issue>2</issue><spage>507</spage><epage>515</epage><pages>507-515</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
Conventional defecography and MRI defecography can be requested as an additional test for diagnosing and differentiating the type of posterior compartment prolapse and/or obstructive defecation disorders. The objective of this study was to determine the added value of conventional defecography, conventional defecography and MRI defecography for clinical decision-making on treatment for patients with posterior compartment prolapse.
Methods
Four gynecologists were asked to fill in their treatment plan per patient for 32 cases for three different steps. Step 1 consisted of information on the anamnesis and physical examination (POP-Q). Step 2 consisted of Step 1, including conventional defecography (group A) or MRI defecography (group B). In Step 3, all gynecologists received the information on Step 1 including both conventional defecography and MRI defecography. Data analysis solely focused on the assessment of changes in the gynecological treatment plan of the posterior compartment.
Results
After Step 2 a change in treatment plan occurred in 37% and 48% of the women in groups A and B, respectively. Accordingly, after Step 3 (including all imaging data), a change in treatment plan occurred in 19% and 52% of the women in groups A and B, respectively. A change within the surgery group (when a different type of surgery was selected) was seen for a total of 11 cases in group A and 20 in group B in all steps combined.
Conclusions
Both conventional defecography and MRI defecography had an large effect on the treatment plan for patients with posterior compartment prolapse. The dedicated added value of the imaging modality individually cannot be concluded yet.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>35403883</pmid><doi>10.1007/s00192-022-05181-x</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Clinical Decision-Making Constipation Defecation Defecography - methods Fecal incontinence Feces Female Gynecology Humans Magnetic Resonance Imaging - methods Medicine Medicine & Public Health Original Original Article Patients Pelvic organ prolapse Pelvis Physiology Radiation Rectal Prolapse Rectum Small intestine Surgery Ultrasonic imaging Urology Vagina Visualization |
| title | The added value of conventional defecography and MRI defecography in clinical decision making on treatment for posterior compartment prolapse |
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