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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.
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| 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 |
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