Danielle van Reijn-Baggen

Chapter 4 108 TPUS versus DRE by the surgeon (n=32) In 17 patients (52%) the tests showed similar results. Twenty-five (78%) patients were classified ‘indifferent’ with TPUS (Table 14). Table 14 Transperineal ultrasound (TPUS) versus digital rectal examination (DRE) by the surgeon. DRE surgeon Relaxation Indifferent Paradoxical Total TPUS Relaxation 5 0 0 5 Indifferent 6 10 9 25 Paradoxical 0 0 2 2 Total 11 10 11 32 TPUS versus DRE by the pelvic floor physical therapist (n=32) Results are almost similar with the DRE by the surgeon. DRE by the surgeon versus evacuation of gel during TPUS (n=24) One patient showed ‘paradoxical’ straining during DRE by the surgeon but could evacuate the gel during the TPUS at the same day (Table 15). One patient could not evacuate the gel while the surgeon classified ‘relaxation’ with DRE. Table 15. Digital rectal examination (DRE) by the surgeon versus evacuation of gel during transperineal ultrasound (TPUS) Evacuation of gel during TPUS Yes No Total DRE surgeon Relaxation 7 1 8 Indifferent 4 5 9 Paradoxical 1 6 7 Total 12 12 24 DRE by the pelvic floor physical therapist versus evacuation of gel during TPUS (n=24) Results are almost similar with DRE by the surgeon except that DRE in two patients were classified as ‘relaxation’ while they could not evacuate the gel. S-EMG versus DRE by the surgeon (n=50) In 26 (52%) patients the test results were similar. S-EMG classified ‘indifferent’ in 22 (44%) patients (Table 16). One patient was classified ‘paradoxical’ with s-EMG but classified ‘relaxation’ by the surgeons’ DRE.

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