{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:35:58Z","timestamp":1760189758720},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T00:00:00Z","timestamp":1604534400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To compare features on imaging (integrated total pelvic floor ultrasound (transperineal, transvaginal) and defaecation proctography) with bowel, bladder and vaginal symptoms in pelvic floor defaecatory dysfunction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A prospective observational case series of 216 symptomatic women who underwent symptom severity scoring (bowel, bladder and vaginal), integrated total pelvic floor ultrasound and defaecation proctography. Anatomical (rectocele, intussusception, enterocele, cystocele) and functional (co\u2010ordination, evacuation) features were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Irrespective of imaging modality, patients with a rectocele had higher International Consultation on Incontinence Modular Questionnaire \u2013 Vaginal Symptoms (ICIQ\u2010VS) scores than patients without. On integrated total pelvic floor ultrasound, ICIQ\u2010VS quality of life scores were higher in those with a rectocele. There was a higher International Consultation on Incontinence Modular Questionnaire \u2013 Bowel Symptoms (ICIQ\u2010BS) bowel pattern score in those with a rectocele, and a lower ICIQ\u2010BS bowel pattern and sexual impact score in those with intussusception. Poor co\u2010ordination was associated with increased ICIQ\u2010BS bowel control scores and obstructed defaecation symptom scores. On defaecation proctography, ICIQ\u2010VS symptom scores were lower in patients with poor co\u2010ordination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with a rectocele on either imaging modality may have qualitative vaginal symptoms on assessment. In patients with bowel symptoms but no vaginal symptoms, it is not possible to predict which anatomical abnormalities will be present on imaging.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.15396","type":"journal-article","created":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T06:18:18Z","timestamp":1602224298000},"page":"237-245","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Is there any association between symptoms and findings on imaging in pelvic floor defaecatory dysfunction? A prospective study"],"prefix":"10.1111","volume":"23","author":[{"given":"Alison J.","family":"Hainsworth","sequence":"first","affiliation":[{"name":"The Pelvic Floor Unit Guy's and St Thomas Hospital London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepa","family":"Solanki","sequence":"additional","affiliation":[{"name":"The Pelvic Floor Unit Guy's and St Thomas Hospital London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha J.","family":"Morris","sequence":"additional","affiliation":[{"name":"The Pelvic Floor Unit Guy's and St Thomas Hospital London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlene","family":"Igbedioh","sequence":"additional","affiliation":[{"name":"The Pelvic Floor Unit Guy's and St Thomas Hospital London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis M. 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