Pelvic floor imaging in women with hemorrhoidal disease: An anatomical feasibility study

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dc.authoridSenkaya, Ayse Rabia/0000-0003-1538-6965
dc.authoridHacioglu, Ali Doruk/0000-0002-6752-7283
dc.contributor.authorKebapci, Eyuep
dc.contributor.authorKaraca, Ibrahim
dc.contributor.authorSenkaya, Ays Rabia
dc.contributor.authorHacioglu, Ali Doruk
dc.date.accessioned2025-03-20T09:51:04Z
dc.date.available2025-03-20T09:51:04Z
dc.date.issued2024
dc.departmentİzmir Bakırçay Üniversitesi
dc.description.abstractObjective: To compare pelvic floor muscle and organ structures in women with and without hemorrhoidal disease (HD) using magnetic resonance imaging (MRI). Material and methods: Pelvic MRI measurements and computer-based medical records of women diagnosed with HD between January 2018 and March 2021 were analyzed. Parameters including pubococcygeal distance, puborectal distance, posterior anorectal angle, obturator internus muscle area, presence of levator ani muscle defect, genital hiatus length, vaginal length, uterocervical angle, cervix-upper vagina angle, and cervix-middle vagina angle were evaluated. The control group consisted of women without HD, matched for age and body mass index. Results: Puborectal hiatus distance was higher in the HD group (59.2 +/- 8.7 mm vs. 55.5 +/- 7.1 mm, p = 0.03). Similarly, the distance to the M line was greater in the HD group (18.3 +/- 4.8 mm vs. 16 +/- 4.6 mm, p = 0.04). Obturator internus muscle area was found to be lower in the HD group compared to the non-HD group (1721 +/- 291.4 mm(2) vs. 1897.5 +/- 352.5 mm(2), p = 0.02). Additionally, the presence of unilateral levator ani muscle defect was higher in HD patients (p = 0.03). There was a negative correlation between birthweight and obturator internus muscle area (r = -0.388, p = 0.02), and a positive correlation with M line distance (r = 0.344, p = 0.04). Conclusion: Levator ani muscle defects and obturator internus muscle area, indicators of pelvic floor dysfunction, are more common in patients with hemorrhoidal disease.
dc.description.sponsorshipInstutional Board Review: Izmir Bakircay University Ethics Commit-tee
dc.description.sponsorshipDisclosure of source (s) of fi nancial support None. Instutional Board Review: Izmir Bakircay University Ethics Commit-tee. (IRB: 28.07/683) approved.
dc.identifier.doi10.1016/j.surge.2024.06.006
dc.identifier.endpagee185
dc.identifier.issn1479-666X
dc.identifier.issn2405-5840
dc.identifier.issue5
dc.identifier.pmid38987115
dc.identifier.scopus2-s2.0-85197796396
dc.identifier.scopusqualityQ1
dc.identifier.startpagee181
dc.identifier.urihttps://doi.org/10.1016/j.surge.2024.06.006
dc.identifier.urihttps://hdl.handle.net/20.500.14034/2400
dc.identifier.volume22
dc.identifier.wosWOS:001316866000001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherRoyal College Surgeons Edinburgh
dc.relation.ispartofSurgeon-Journal of The Royal Colleges of Surgeons of Edinburgh and Ireland
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250319
dc.subjectPerianal disease
dc.subjectPelvic floor disorders
dc.subjectMagnetic resonance imaging
dc.titlePelvic floor imaging in women with hemorrhoidal disease: An anatomical feasibility study
dc.typeArticle

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