This thesis investigates the diagnostic test accuracy of pelvic floor imaging for different causes of pelvic floor dysfunction. Traditionally used imaging techniques are either expensive or embarrassing, hence the need for a more widely available and acceptable imaging technique. Ultrasound has been extensively used for gynaecologic and obstetric pathology, however is relatively new in the field of urogynaecology. This dissertation shows that pelvic floor ultrasound meets the criteria to be implemented in clinical practice as a triage test for obstructed defaecation syndrome. Subsequent testing is only necessary when conservative treatment of the condition is failing. This reduces the number of women that need to undergo additional imaging techniques that are expensive or embarrassing, potentially reducing healthcare costs and increasing patients’ satisfaction. Pelvic floor ultrasound could also be implemented to assess parous women for pelvic floor muscle injury. Endo-anal ultrasound remains the best imaging technique for anal muscle injury.
Isabelle van Gruting (1984) studied medicine at the Erasmus University in Rotterdam. In 2013 she started her PhD in the position as Research Fellow in Urogynaecology in Croydon University Hospital in London, United Kingdom, in collaboration with the Radboud University. In 2018 Isabelle started her specialty training in obstetrics and gynaecology at the Amsterdam University Medical Centre.