University of Twente Student Theses

Login

The added value of X-defecography and MR-defecography in clinical decision making on treatment for posterior compartment prolapse

Nijland, D.M (2021) The added value of X-defecography and MR-defecography in clinical decision making on treatment for posterior compartment prolapse.

[img] PDF
293kB
Abstract:Introduction: X-defecography and MRI-defecography can request as an additional test for diagnosing and differentiation posterior compartment prolapse. The objective of this study was to determine the added value of X-defecography and MRI-defecography for the 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 consist of information on the anamneses and the POP-Q. Step 2 consist of Step 1, including X-defecography (group A) or MRI-defecography (group B). In Step 3, they all received the information of Step 1 including X-defecography and MRI-defecography. Data analysis solely focussed on the assessment of changes in the gynaecological treatment plan of the posterior compartment. Results: In group A the treatment plan changes in Step 2 in 23 out of the 63 (37%) patient cases and in Step 3 in 12 out of the 63 (19%) patient cases. In group B the treatment plan changes in Step 2 in 31 out of the 64 (48%) patient cases and in Step 3 in 33 out of the 64 (52%) patient cases. Conclusion: Both X-defecography and MRI-defecography show to have an effect on the treatment plan for patients with posterior compartment prolapse. The dedicated added value of the imaging modality individually cannot be concluded yet.
Item Type:Essay (Master)
Faculty:TNW: Science and Technology
Subject:44 medicine
Programme:Health Sciences MSc (66851)
Link to this item:https://purl.utwente.nl/essays/86450
Export this item as:BibTeX
EndNote
HTML Citation
Reference Manager

 

Repository Staff Only: item control page