TITLE

Is cervical elongation associated with pelvic organ prolapse?

AUTHOR(S)
Berger, Mitchell; Ramanah, Rajeev; Guire, Kenneth; DeLancey, John
PUB. DATE
August 2012
SOURCE
International Urogynecology Journal;Aug2012, Vol. 23 Issue 8, p1095
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Introduction and hypothesis: It is commonly believed that pelvic organ prolapse (POP) is associated with cervical elongation. However, cervical lengths have not been formally compared between women with prolapse and those with normal support. Methods: Cervix and uterine corpus lengths were measured on magnetic resonance images in a case-control study of 51 women with prolapse and 46 women with normal support determined by the Pelvic Organ Prolapse Quantification (POP-Q) examination. Group matching ensured similar demographics in both groups. Ranges for normal cervical lengths were determined from the values in the control group in order to evaluate for cervical elongation amongst women with prolapse. Results: The cervix is 36.4 % (8.6 mm) longer in women with prolapse than in women with normal pelvic support ( p < 0.001). Linear regression modeling suggests the feature most highly associated with cervical length is the degree of uterine descent (POP-Q point C). Approximately 40 % of women with prolapse have cervical elongation; 57 % of cervical elongation in prolapse can be explained by a logistic regression-based model including POP-Q point C, body mass index, and menopausal status. Conclusions: Cervical elongation is found in one third of women with POP, with the extent of elongation increasing with greater degrees of uterine descent.
ACCESSION #
77736599

 

Related Articles

  • Randomized trial of a web-based tool for prolapse: impact on patient understanding and provider counseling. Myers, Erinn; Robinson, Barbara; Geller, Elizabeth; Wells, Ellen; Matthews, Catherine; Fenderson, Jacquia; Crane, Andrea; Jannelli, Mary; Connolly, AnnaMarie // International Urogynecology Journal;Aug2014, Vol. 25 Issue 8, p1127 

    Introduction and hypothesis: Effective patient/provider communication is important to ensure patient understanding, safety, and satisfaction. Our hypothesis was that interactive patient/provider counseling using a web-based tool (iPadâ„¢ application) would have a greater impact on patient...

  • The cube pessary: an underestimated treatment option for pelvic organ prolapse? Subjective 1-year outcomes. Nemeth, Zoltan; Nagy, Sándor; Ott, Johannes // International Urogynecology Journal; 

    Introduction and hypothesis: Pelvic organ prolapse (POP) is a common condition. The use of pessaries for conservative management of POP is widespread. However, there are little data on the use of cube pessaries. The aim of our study was to evaluate whether self-therapy with the use of vaginal...

  • Total transvaginal mesh (TVM) technique for treatment of pelvic organ prolapse: a 5-year prospective follow-up study. Jacquetin, B.; Hinoul, P.; Gauld, J.; Fatton, B.; Rosenthal, C.; Clavé, H.; Garbin, O.; Berrocal, J.; Villet, R.; Salet-Lizée, D.; Debodinance, P.; Cosson, M. // International Urogynecology Journal; 

    Introduction and hypothesis: To evaluate clinical effectiveness and complication rates at 5 years following the total Trans Vaginal Mesh (TVM) technique to treat pelvic organ prolapse. Methods: Prospective, observational, multi-centre study in patients with prolapse of stage II or higher....

  • Comparison of two trocar-guided trans-vaginal mesh systems for repair of pelvic organ prolapse: a retrospective cohort study. Lensen, E.; Withagen, M.; Kluivers, K.; Milani, A.; Vierhout, M. // International Urogynecology Journal; 

    Introduction and hypothesis: The aim of this study was to compare failure and complication rates in patients who underwent a trocar-guided vaginal mesh repair with either a non-absorbable or a partially absorbable mesh. Methods: Retrospective analysis of prospectively collected data from...

  • Determination of postvoid residual by translabial ultrasound. Dietz, H.; Velez, D.; Shek, K.; Martin, A. // International Urogynecology Journal;Dec2012, Vol. 23 Issue 12, p1749 

    Introduction and hypothesis: Urogynaecological assessment routinely includes determination of postvoid residual urine volume (PVR). This study was designed to generate a formula for determining PVR by translabial ultrasound (US). Methods: This was an observational study using imaging data...

  • Long-term follow-up after native tissue repair for pelvic organ prolapse. Oversand, Sissel; Staff, Anne; Spydslaug, Anny; Svenningsen, Rune; Borstad, Ellen // International Urogynecology Journal;Jan2014, Vol. 25 Issue 1, p81 

    Introduction and hypothesis: There are large variations in reported frequency of recurrence and subsequent treatment after pelvic organ prolapse (POP) surgery. We hypothesized that native tissue repair entails high subjective satisfaction and good objective results, with low POP reoperation...

  • Pelvic organ prolapse surgery with and without tension-free vaginal tape in women with occult or asymptomatic urodynamic stress incontinence: a randomised controlled trial. Schierlitz, Lore; Dwyer, Peter; Rosamilia, Anna; Souza, Alison; Murray, Christine; Thomas, Elizabeth; Hiscock, Richard; Achtari, Chahin // International Urogynecology Journal;Jan2014, Vol. 25 Issue 1, p33 

    Introduction: We set out to determine if insertion of a retropubic tension-free vaginal tape (TVT) sling at the time of pelvic organ prolapse surgery improves continence outcomes in women with pre-operative occult stress incontinence (OSI) or asymptomatic urodynamic stress incontinence (USI)....

  • Ethnicity and variations of pelvic organ prolapse bother. Dunivan, Gena; Cichowski, Sara; Komesu, Yuko; Fairchild, Pamela; Anger, Jennifer; Rogers, Rebecca // International Urogynecology Journal;Jan2014, Vol. 25 Issue 1, p53 

    Introduction and hypothesis: To determine if prolapse symptom severity and bother varies among non-Hispanic white, Hispanic, and Native American women with equivalent prolapse stages on physical examination. Methods: This was a retrospective chart review of new patients seen in an academic...

  • Symptoms, quality of life, and factors affecting women's treatment decisions regarding pelvic organ prolapse. Chan, Symphorosa; Cheung, Rachel; Yiu, Ka; Lee, Lai; Pang, Albe; Chung, Tony // International Urogynecology Journal;Aug2012, Vol. 23 Issue 8, p1027 

    Introduction and hypothesis: We performed an investigation of symptoms, quality of life (QOL), and factors affecting women's treatment choice of pelvic organ prolapse (POP). Methods: Three hundred and eight women presenting with POP were assessed by Pelvic Floor Distress Inventory (PFDI), Pelvic...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics