Clinical Ultrasound in Benign Proctology

About this atlas

2-D and 3-D anal ultrasound are among the most recent and advanced tools available for both the diagnosis and the management of anorectal diseases. They are neither expensive nor harmful for the patients and progressively replaced anal mapping with EMG electrodes for the diagnosis of sphincter's defects and anismus, which represents nearly 50% of the cases of chronic constipation. Anal US may provide the clinician with useful information for both classification, diagnosis and management of anorectal sepsis, anal incontinence and anorectal-perineal chronic pain. Almost any case presented in this Atlas shows both imaging and clinical pictures, thus allowing both the radiologist and the clinician to assess the reliability of the exam and the outcome of the selected treatment.

Written for:

Coloproctologists, radiologists, gastroenterologists, urologists, gynaecologists

Keywords:

Anal Ultrasound
Anorectum
Benign diseases
Imaging
Vaginal Ultrasound

Table of contents

• I. Endovaginal US: Indications and technique.- US Anatomy. Anismus, enterocele rectocele (Obstructed defecation).- Abscess and fistula-in-ano.- Fecal incontinence.-Congenital anomalies.-
• II Endoanal 2-D US: Indications and technique.- US anatomy. Rectal mucosal prolapse and intussusception, solitary ulcer sindrome, anismus (obstructed defecation). Abscess and fistula-in-ano, recto-vaginal fistula.- Fecal incontinence and sphincters’ trauma.- Proctalgia and anal fissure.- Anal condilomata.- Anal Crohn’s. Hemorrhoids, post-hemorrhoidectomy disorders.- Ileo-anal dehiscence and fibrosis.-
• III Endoanal 3-D US: Indications and technique.- US Anatomy. Abscess and fistula-in-ano.- Fecal incontinence.- IV Dynamic perineal US: Indications and technique.- US Anatomy.-Enterocele, rectocele, anismus, rectal intussusception (obstructed defecation).- Fecal incontinence.