Transrectal scanning: an alternative when transvaginal scanning is not feasible

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
I E Timor-TritschT Tsymbal

Abstract

In scanning the female pelvis the clear images of transvaginal sonography (TVS) result from placing the transducer close to the region of interest. The advantages of TVS over transabdominal sonography (TAS) and transperineal sonography are well documented. Transrectal scanning is proposed mostly for ultrasound guidance in draining a pelvic abscess. Our aim was to investigate the applicability of transrectal scanning (TRS) for cases in which TVS is impossible. Forty-two patients with an absolute or a relative contraindication to TVS were scanned transabdominally and transrectally. The TRS was performed using a transvaginal probe, which was lubricated and slowly advanced into the rectum. The technique used was similar to that of TVS. Images were compared for resolution and quality. All scans were completed without significant patient discomfort or complaints. TRS was clearly superior to TAS in 31 cases. In nine cases TAS furnished some clinical information but TRS yielded better images. Only in one such case was TAS similar in quality to TRS. In four obese patients TAS did not reveal sufficient pelvic anatomy to generate a clinical diagnosis, whereas TRS revealed two sets of normal ovaries and two patients with ovarian cysts. In ...Continue Reading

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Citations

Jul 16, 2013·Journal of Pediatric and Adolescent Gynecology·Nilgün Güdücüİlkkan Dünder
Apr 27, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Li Sun, Qingzhao Fu
Jul 11, 2006·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·L SavelliB Cacciatore
Nov 30, 2004·Gynécologie, obstétrique & fertilité·J CréquatP Madelenat
Aug 11, 2004·Emergency Medicine Clinics of North America·Michael J Lambert, Martha Villa
May 10, 2017·Menopause : the Journal of the North American Menopause Society·Bryann Bromley
Mar 10, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
Feb 22, 2018·Menopause : the Journal of the North American Menopause Society·Steven Robert Goldstein
Dec 20, 2003·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Ronald H Wachsberg
Oct 29, 2017·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M A Coelho NetoW P Martins

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