Transperineal 2D, 3D and 4D ultrasound<\/strong><\/h1>\nA promising study on women’s health<\/h1>\n
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Abstract<\/h3>\n
Transperineal 2D, 3D and 4D ultrasound has gained ground in recent years in the study of pelvic floor pathologies. This method is available in medical institutions, does not generate discomfort to the patient, and allows real time evaluation of pelvic structures and the study of the axial plane.<\/p>\n
The technical requirements include a 3.5 to 6 Mhz curved transducer. Its main indications are urinary incontinence, prolapse, incomplete bowel evacuation, chronic constipation, faecal incontinence, and vaginismus. The pelvic floor is evaluated in its three anterior, middle and posterior compartments, the urogenital hiatus and the description of meshes. Transperineal ultrasound together with other diagnostic methods and physical examination allowed us to provide key data for the therapeutic and surgical management of the patient.<\/p>\n
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Keywords<\/h3>\n
Transperineal ultrasound, pelvic floor.<\/p>\n
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Introducci\u00f3n<\/h3>\n
La ecograf\u00eda transperineal en 2, 3 y 4 dimensiones (d) \u00a0ha ganado terreno en los \u00faltimos a\u00f1os en el estudio de las patolog\u00edas del piso pelviano. Se trata de un m\u00e9todo disponible en las instituciones, no genera incomodidad en la paciente, permite la evaluaci\u00f3n de las estructuras pelvianas en tiempo real y el estudio del plano axial.<\/p>\n
Los requisitos t\u00e9cnicos incluyen un transductor curvo de 3,5 a 6 Mhz. Se obtiene una vista sagital colocando el transductor en el perin\u00e9, despu\u00e9s de cubrirlo con un guante y colocar abundante gel (Figura 1).1<\/sup>\u00a0<\/p>\nSus principales indicaciones son incontinencia urinaria, prolapso, evacuaci\u00f3n intestinal incompleta, constipaci\u00f3n cr\u00f3nica, incontinencia fecal, y vaginismo.<\/p>\n
El piso pelviano se eval\u00faa en sus tres compartimentos anterior, medio y posterior, el hiato urogenital y la descripci\u00f3n de mallas.<\/p>\n
En el compartimento anterior se puede objetivar la hipermovilidad uretral (Figura 2).1<\/sup>\u00a0
Con respecto a la vejiga podemos medir el espesor de su pared, el residuo post miccional y la presencia de cistocele (Figura 3).<\/p>\nEn el compartimento medio se eval\u00faa la integridad de la vagina (quistes vaginales, leiomioma vaginal), morfolog\u00eda de la vagina y el descenso del \u00fatero (Figura 4).2<\/sup><\/p>\nEn el compartimento posterior se puede evaluar la presencia de rectocele (Figura 5), hipermovilidad perineal, rectoenterocele, intusepci\u00f3n anal, disinergia y fistula anal (Figura 6).3<\/sup><\/p>\nEl hiato urogenital se puede objetivar con precisi\u00f3n en 3 d y 4 d y cuantificar en caso de lesi\u00f3n mediante ultrasonido tomogr\u00e1fico (Figura 7).4<\/sup><\/p>\nEn la evaluaci\u00f3n de las mallas la ecograf\u00eda es superior a la resonancia magn\u00e9tica por im\u00e1genes (RMI), se puede evaluar el tipo de malla (transobturador o retrop\u00fabica), sus fallas y sus complicaciones (Figura 8).<\/p>\n
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Conclusiones<\/h3>\n
La ecograf\u00eda es un estudio de larga data, sin embargo el desarrollo de la ecograf\u00eda transperineal con sus variantes 2 d, 3 d y 4 d, nos abri\u00f3 nuevos caminos al abordaje de un tema tan complejo como lo es el piso pelviano. Su avance necesita de un especialista en diagn\u00f3stico por im\u00e1genes capacitado en el tema y un grupo interdisciplinario de m\u00e9dicos especialistas para estudiar cada paciente en forma personal y articulada. La ecograf\u00eda transperineal junto a otros m\u00e9todos diagn\u00f3sticos y el examen f\u00edsico nos permiti\u00f3 aportar datos claves para el manejo terap\u00e9utico y quir\u00fargico de la paciente.<\/p>\n
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Conflicto de intereses<\/h3>\n
Los autores declaran no tener conflicto de intereses.<\/p>\n
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FIGURAS<\/p>\n
Figuras<\/h2>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00bb4.16″ locked=\u00bboff\u00bb collapsed=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_blurb title=\u00bbFigura 1 – Di\u00e1metro de la vaina del nervio \u00f3ptico medido por ecograf\u00eda\u00bb use_icon=\u00bbon\u00bb font_icon=\u00bbZ||divi||400″ icon_color=\u00bb#3cbebe\u00bb icon_placement=\u00bbleft\u00bb content_max_width=\u00bb1100px\u00bb image_icon_width_last_edited=\u00bboff|desktop\u00bb _builder_version=\u00bb4.16.0″ header_font=\u00bb|600|||||||\u00bb header_font_size=\u00bb18px\u00bb header_line_height=\u00bb1.6em\u00bb body_font=\u00bb||||||||\u00bb body_font_size=\u00bb15px\u00bb body_line_height=\u00bb2em\u00bb header_font_size_tablet=\u00bb\u00bb header_font_size_phone=\u00bb15px\u00bb header_font_size_last_edited=\u00bbon|phone\u00bb body_line_height_tablet=\u00bb\u00bb body_line_height_phone=\u00bb1.6em\u00bb body_line_height_last_edited=\u00bbon|phone\u00bb image_max_width_phone=\u00bb50px\u00bb image_max_width_last_edited=\u00bboff|desktop\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Ecograf\u00eda transperineal y su anatom\u00eda.<\/p>\n
[\/et_pb_blurb][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2022\/04\/Ecografia-Transperineal1.jpg\u00bb title_text=\u00bbEcografia-Transperineal1″ align=\u00bbcenter\u00bb _builder_version=\u00bb4.16.0″ border_radii=\u00bbon|39px|39px|39px|39px\u00bb border_width_all=\u00bb5px\u00bb box_shadow_style=\u00bbpreset2″ global_colors_info=\u00bb{}\u00bb][\/et_pb_image][et_pb_blurb title=\u00bbFigura 2 – Hipermovilidad uretral\u00bb use_icon=\u00bbon\u00bb font_icon=\u00bbZ||divi||400″ icon_color=\u00bb#3cbebe\u00bb icon_placement=\u00bbleft\u00bb content_max_width=\u00bb1100px\u00bb image_icon_width_last_edited=\u00bboff|desktop\u00bb _builder_version=\u00bb4.16.0″ header_font=\u00bb|600|||||||\u00bb header_font_size=\u00bb18px\u00bb header_line_height=\u00bb1.6em\u00bb body_font=\u00bb||||||||\u00bb body_font_size=\u00bb15px\u00bb body_line_height=\u00bb2em\u00bb header_font_size_tablet=\u00bb\u00bb header_font_size_phone=\u00bb15px\u00bb header_font_size_last_edited=\u00bbon|phone\u00bb body_line_height_tablet=\u00bb\u00bb body_line_height_phone=\u00bb1.6em\u00bb body_line_height_last_edited=\u00bbon|phone\u00bb image_max_width_phone=\u00bb50px\u00bb image_max_width_last_edited=\u00bboff|desktop\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Medici\u00f3n del descenso del cuello vesical con respecto a la l\u00ednea de la s\u00ednfisis del pubis. La movilidad uretral es de 26 mm.<\/p>\n
[\/et_pb_blurb][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2022\/04\/Ecografia-Transperineal2.jpg\u00bb title_text=\u00bbEcografia-Transperineal2″ align=\u00bbcenter\u00bb _builder_version=\u00bb4.16.0″ border_radii=\u00bbon|39px|39px|39px|39px\u00bb border_width_all=\u00bb5px\u00bb box_shadow_style=\u00bbpreset2″ global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00bb4.16″ locked=\u00bboff\u00bb collapsed=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_blurb title=\u00bbFigura 3 – Cistocele\u00bb use_icon=\u00bbon\u00bb font_icon=\u00bbZ||divi||400″ icon_color=\u00bb#3cbebe\u00bb icon_placement=\u00bbleft\u00bb content_max_width=\u00bb1100px\u00bb image_icon_width_last_edited=\u00bboff|desktop\u00bb _builder_version=\u00bb4.16.0″ header_font=\u00bb|600|||||||\u00bb header_font_size=\u00bb18px\u00bb header_line_height=\u00bb1.6em\u00bb body_font=\u00bb||||||||\u00bb body_font_size=\u00bb15px\u00bb body_line_height=\u00bb2em\u00bb header_font_size_tablet=\u00bb\u00bb header_font_size_phone=\u00bb15px\u00bb header_font_size_last_edited=\u00bbon|phone\u00bb body_line_height_tablet=\u00bb\u00bb body_line_height_phone=\u00bb1.6em\u00bb body_line_height_last_edited=\u00bbon|phone\u00bb image_max_width_phone=\u00bb50px\u00bb image_max_width_last_edited=\u00bboff|desktop\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Se visualiza un cistocele de 18 mm con respecto a la l\u00ednea de la s\u00ednfisis del pubis.<\/p>\n
[\/et_pb_blurb][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2022\/04\/Ecografia-Transperineal3.jpg\u00bb title_text=\u00bbEcografia-Transperineal3″ align=\u00bbcenter\u00bb _builder_version=\u00bb4.16.0″ border_radii=\u00bbon|39px|39px|39px|39px\u00bb border_width_all=\u00bb5px\u00bb box_shadow_style=\u00bbpreset2″ global_colors_info=\u00bb{}\u00bb][\/et_pb_image][et_pb_blurb title=\u00bbFigura 4 – Quiste vaginal\u00bb use_icon=\u00bbon\u00bb font_icon=\u00bbZ||divi||400″ icon_color=\u00bb#3cbebe\u00bb icon_placement=\u00bbleft\u00bb content_max_width=\u00bb1100px\u00bb image_icon_width_last_edited=\u00bboff|desktop\u00bb _builder_version=\u00bb4.16.0″ header_font=\u00bb|600|||||||\u00bb header_font_size=\u00bb18px\u00bb header_line_height=\u00bb1.6em\u00bb body_font=\u00bb||||||||\u00bb body_font_size=\u00bb15px\u00bb body_line_height=\u00bb2em\u00bb header_font_size_tablet=\u00bb\u00bb header_font_size_phone=\u00bb15px\u00bb header_font_size_last_edited=\u00bbon|phone\u00bb body_line_height_tablet=\u00bb\u00bb body_line_height_phone=\u00bb1.6em\u00bb body_line_height_last_edited=\u00bbon|phone\u00bb image_max_width_phone=\u00bb50px\u00bb image_max_width_last_edited=\u00bboff|desktop\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Se observa un quiste en la pared anterior vaginal que mide 41 x 14 mm.<\/p>\n<\/strong><\/p>\n
[\/et_pb_blurb][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2022\/04\/Ecografia-Transperineal4.jpg\u00bb title_text=\u00bbEcografia-Transperineal4″ align=\u00bbcenter\u00bb _builder_version=\u00bb4.16.0″ border_radii=\u00bbon|39px|39px|39px|39px\u00bb border_width_all=\u00bb5px\u00bb box_shadow_style=\u00bbpreset2″ global_colors_info=\u00bb{}\u00bb][\/et_pb_image][et_pb_blurb title=\u00bbFigura 5 – Rectocele anterior\u00bb use_icon=\u00bbon\u00bb font_icon=\u00bbZ||divi||400″ icon_color=\u00bb#3cbebe\u00bb icon_placement=\u00bbleft\u00bb content_max_width=\u00bb1100px\u00bb image_icon_width_last_edited=\u00bboff|desktop\u00bb _builder_version=\u00bb4.16.0″ header_font=\u00bb|600|||||||\u00bb header_font_size=\u00bb18px\u00bb header_line_height=\u00bb1.6em\u00bb body_font=\u00bb||||||||\u00bb body_font_size=\u00bb15px\u00bb body_line_height=\u00bb2em\u00bb header_font_size_tablet=\u00bb\u00bb header_font_size_phone=\u00bb15px\u00bb header_font_size_last_edited=\u00bbon|phone\u00bb body_line_height_tablet=\u00bb\u00bb body_line_height_phone=\u00bb1.6em\u00bb body_line_height_last_edited=\u00bbon|phone\u00bb image_max_width_phone=\u00bb50px\u00bb image_max_width_last_edited=\u00bboff|desktop\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Se observa un rectocele anterior de 37 mm de profundidad.<\/p>\n
[\/et_pb_blurb][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2022\/04\/Ecografia-Transperineal5.jpg\u00bb title_text=\u00bbEcografia-Transperineal5″ align=\u00bbcenter\u00bb _builder_version=\u00bb4.16.0″ border_radii=\u00bbon|39px|39px|39px|39px\u00bb border_width_all=\u00bb5px\u00bb box_shadow_style=\u00bbpreset2″ global_colors_info=\u00bb{}\u00bb][\/et_pb_image][et_pb_blurb title=\u00bbFigura 6 – Esf\u00ednter anal\u00bb use_icon=\u00bbon\u00bb font_icon=\u00bbZ||divi||400″ icon_color=\u00bb#3cbebe\u00bb icon_placement=\u00bbleft\u00bb content_max_width=\u00bb1100px\u00bb image_icon_width_last_edited=\u00bboff|desktop\u00bb _builder_version=\u00bb4.16.0″ header_font=\u00bb|600|||||||\u00bb header_font_size=\u00bb18px\u00bb header_line_height=\u00bb1.6em\u00bb body_font=\u00bb||||||||\u00bb body_font_size=\u00bb15px\u00bb body_line_height=\u00bb2em\u00bb header_font_size_tablet=\u00bb\u00bb header_font_size_phone=\u00bb15px\u00bb header_font_size_last_edited=\u00bbon|phone\u00bb body_line_height_tablet=\u00bb\u00bb body_line_height_phone=\u00bb1.6em\u00bb body_line_height_last_edited=\u00bbon|phone\u00bb image_max_width_phone=\u00bb50px\u00bb image_max_width_last_edited=\u00bboff|desktop\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Ecograf\u00eda transperineal 3 D con cortes tomogr\u00e1ficos que muestra lesi\u00f3n del esf\u00ednter anal externo en 5 de los 6 cortes y lesi\u00f3n del esf\u00ednter anal interno en 4 de los 6 cortes. 3D: 3 dimensiones
<\/strong><\/p>\n[\/et_pb_blurb][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2022\/04\/Ecografia-Transperineal6.jpg\u00bb title_text=\u00bbEcografia-Transperineal6″ align=\u00bbcenter\u00bb _builder_version=\u00bb4.16.0″ border_radii=\u00bbon|39px|39px|39px|39px\u00bb border_width_all=\u00bb5px\u00bb box_shadow_style=\u00bbpreset2″ global_colors_info=\u00bb{}\u00bb][\/et_pb_image][et_pb_blurb title=\u00bbFigura 7 – Ecograf\u00eda 3 D\u00bb use_icon=\u00bbon\u00bb font_icon=\u00bbZ||divi||400″ icon_color=\u00bb#3cbebe\u00bb icon_placement=\u00bbleft\u00bb content_max_width=\u00bb1100px\u00bb image_icon_width_last_edited=\u00bboff|desktop\u00bb _builder_version=\u00bb4.16.0″ header_font=\u00bb|600|||||||\u00bb header_font_size=\u00bb18px\u00bb header_line_height=\u00bb1.6em\u00bb body_font=\u00bb||||||||\u00bb body_font_size=\u00bb15px\u00bb body_line_height=\u00bb2em\u00bb header_font_size_tablet=\u00bb\u00bb header_font_size_phone=\u00bb15px\u00bb header_font_size_last_edited=\u00bbon|phone\u00bb body_line_height_tablet=\u00bb\u00bb body_line_height_phone=\u00bb1.6em\u00bb body_line_height_last_edited=\u00bbon|phone\u00bb image_max_width_phone=\u00bb50px\u00bb image_max_width_last_edited=\u00bboff|desktop\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Se observa la reconstrucci\u00f3n del hiato urogenital en 3 D que nos permite medir el \u00e1rea del hiato (balonamiento) y observar si hay lesiones o desprendimientos del haz puborectal. 3D: 3 dimensiones<\/p>\n
[\/et_pb_blurb][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2022\/04\/Ecografia-Transperineal7.jpg\u00bb title_text=\u00bbEcografia-Transperineal7″ align=\u00bbcenter\u00bb _builder_version=\u00bb4.16.0″ border_radii=\u00bbon|39px|39px|39px|39px\u00bb border_width_all=\u00bb5px\u00bb box_shadow_style=\u00bbpreset2″ global_colors_info=\u00bb{}\u00bb][\/et_pb_image][et_pb_blurb title=\u00bbFigura 8 – Sling suburetral\u00bb use_icon=\u00bbon\u00bb font_icon=\u00bbZ||divi||400″ icon_color=\u00bb#3cbebe\u00bb icon_placement=\u00bbleft\u00bb content_max_width=\u00bb1100px\u00bb image_icon_width_last_edited=\u00bboff|desktop\u00bb _builder_version=\u00bb4.16.0″ header_font=\u00bb|600|||||||\u00bb header_font_size=\u00bb18px\u00bb header_line_height=\u00bb1.6em\u00bb body_font=\u00bb||||||||\u00bb body_font_size=\u00bb15px\u00bb body_line_height=\u00bb2em\u00bb header_font_size_tablet=\u00bb\u00bb header_font_size_phone=\u00bb15px\u00bb header_font_size_last_edited=\u00bbon|phone\u00bb body_line_height_tablet=\u00bb\u00bb body_line_height_phone=\u00bb1.6em\u00bb body_line_height_last_edited=\u00bbon|phone\u00bb image_max_width_phone=\u00bb50px\u00bb image_max_width_last_edited=\u00bboff|desktop\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Se observa el sling<\/em> suburetral ubicado a nivel del tercio inferior de la uretra en el plano sagital y a la rama izquierda del sling<\/em> asim\u00e9trica en el plano coronal.<\/p>\n[\/et_pb_blurb][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2022\/04\/Ecografia-Transperineal8.jpg\u00bb title_text=\u00bbEcografia-Transperineal8″ align=\u00bbcenter\u00bb _builder_version=\u00bb4.16.0″ border_radii=\u00bbon|39px|39px|39px|39px\u00bb border_width_all=\u00bb5px\u00bb box_shadow_style=\u00bbpreset2″ global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1″ admin_label=\u00bbCourses\u00bb _builder_version=\u00bb4.16″ custom_padding=\u00bb1px|0px|62px|0px|false|false\u00bb locked=\u00bboff\u00bb collapsed=\u00bbon\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.17.4″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb12px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb hover_enabled=\u00bb0″ text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb sticky_enabled=\u00bb0″]<\/p>\n
Bibliograf\u00eda<\/h3>\n
1. Dietz HP, Hoyte LPJ, Steensma AB. Atlas of pelvic floor ultrasound. London: Springer; 2008.
2. Shek KL, Dietz HP. What is abnormal uterine descent on translabial ultrasound?. Int Urogynecol J. 2015;26:1783-87.
3. Dietz HP. Translabial ultrasound in the assessment of pelvic floor and anorectal function in women with defecatory disorders. Tech coloproctol. 2014;18:481-94.
4. Yin T, Lin Q, Xu L, Liu F, Hu B. Three-dimensional ultrasound appearance of pelvic floor in nulliparous women and pelvic organ prolapse women. Int J Med Sci. 2012[citado 09\/11\/2021];9:894-900. Disponible en: https:\/\/www.medsci.org\/v09p0894.htm<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=\u00bb4.16″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
La ecograf\u00eda transperineal en 2, 3 y 4 dimensiones ha ganado terreno en los \u00faltimos a\u00f1os en el estudio de las patolog\u00edas del piso pelviano. Se trata de un m\u00e9todo disponible en las instituciones, no genera incomodidad en la paciente, permite la evaluaci\u00f3n de las estructuras pelvianas en tiempo real y el estudio del plano axial.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[15,11],"tags":[18],"class_list":["post-764","post","type-post","status-publish","format-standard","hentry","category-15","category-novedades-en-medicina-29","tag-anuario-29-2022"],"_links":{"self":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts\/764","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/comments?post=764"}],"version-history":[{"count":11,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts\/764\/revisions"}],"predecessor-version":[{"id":983,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts\/764\/revisions\/983"}],"wp:attachment":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/media?parent=764"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/categories?post=764"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/tags?post=764"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}