scholarly journals Comparison between the Valsalva maneuver and intraoperative traction measurements in pelvic organ prolapse assessment

2017 ◽  
Vol 139 (3) ◽  
pp. 358-362 ◽  
Author(s):  
Stergios K. Doumouchtsis ◽  
Nivedita Gauthaman ◽  
Azar Khunda ◽  
Maya Basu ◽  
Kiran Dadhwal ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Valsalva Maneuver ◽  
Pelvic Organ

scholarly journals A New Angle Measurement in Translabial Ultrasound as an Adjunct for the Diagnosis of Pelvic Organ Prolapse

Diagnostics ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 98
Author(s):  
Gina Nam ◽  
Jae-Yen Song ◽  
Sa-Ra Lee
Keyword(s):  
Pelvic Organ Prolapse ◽  
Valsalva Maneuver ◽  
Pelvic Organ ◽  
Angle Measurement ◽  
Symphysis Pubis ◽  
Clinical Staging ◽  
Translabial Ultrasound ◽  
Inferior Margin ◽  
The Difference ◽  
Spearman’S Correlation

The aim of this study was to compare the data obtained by a pelvic organ prolapse quantification (POP-Q) examination with the translabial ultrasound (TLUS) quantification of prolapse, using a new method of angle measurement. We analyzed the TLUS and POP-Q exam findings of 452 patients with symptoms of POP. The POP-Q system was used for clinical staging. TLUS was performed both at rest, and during the Valsalva maneuver after proper preparation. A horizontal reference line was drawn through the inferior margin of the symphysis pubis and the levator plate connected to the rectal ampulla, and the difference was calculated between the rest and the Valsalva maneuver. The Spearman’s correlation coefficient of agreement between the TLUS and the clinical POP-Q staging was used for statistical analysis. There was a weak degree of correlation between the POP-Q findings for the Ap parameter and our new angle measurement (rho = 0.17, p < 0.001). Thus, POP staging in conjunction with TLUS with this new angle measurement shows better agreement for the diagnosis of POP than POP-Q staging alone.

scholarly journals A prospective study of laproscopic paravaginal repair of cystocoele: our experience

2021 ◽  
Vol 10 (9) ◽  
pp. 3472
Author(s):  
Amrapali D. Gosavi ◽  
Sanjay P. Dhangar
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Valsalva Maneuver ◽  
Short Form ◽  
Symptomatic Relief ◽  
Pelvic Organ ◽  
Urinary Symptoms ◽  
Epithelial Tissue

Background: Cystocele is diagnosed clinically by vaginal examination approaches using the pelvic organ prolapse quantifications system (POP-Q) of classification. Abdominal and laproscopic are now used due to high failure rate involving the transvaginal repair. Laproscopic repair involves approximation of the vaginal sub-epithelial tissue with the Cooper’s ligament using non-absorbable suture.Methods: This was a prospective observational study from June 2016 to May 2020 over women with symptomatic cystocele of grade ≥2. All patients were preoperatively and post-operatively assessed with quality-of-life questionnaires, pelvic organ prolapse distress inventory-6 (POPDI-6) and urinary distress inventory short form. Clinical examination was done with and without Valsalva maneuver. POP classification was used for grading the prolapse. All patients were assessed for any voiding difficulty after surgery, at one week, three months, six months and 12 months.Results: The median age of patient was 55.5 years. 90.9% patients presented with urinary symptoms. 54.5% patients underwent hysterectomy. The mean blood loss was 55 cc. The anatomic cure rate for cystocoele was 100% in our study in 1 week, 3 months and 6 months post-operatively. There was significant improvement in the quality-of-life scores. Overall, symptomatic relief was seen in 90.9% patients at first week, 95.4% at 3 months, 95.4% at 6 and 12 months follow up. Urinary symptoms were relieved in all patients at first follow up after 7 days, and 95.4% patients during 3, 6 and 12 months follow up.Conclusions: Laproscopic paravaginal cystocoele repair is safe, effective and an easy procedure with good results. The procedure is easy to learn and master with low recurrence rates.

scholarly journals The effect of pessary treatment on puborectalis muscle function

2021 ◽  
Author(s):  
Claudia Manzini ◽  
Frieda van den Noort ◽  
Anique T. M. Grob ◽  
Mariëlla I. J. Withagen ◽  
Carl H. van der Vaart
Keyword(s):  
Pelvic Organ Prolapse ◽  
Uterine Prolapse ◽  
Valsalva Maneuver ◽  
Pelvic Organ ◽  
Relative Difference ◽  
Mean Difference ◽  
Entire Group ◽  
Puborectalis Muscle ◽  
Hiatal Area

Abstract Introduction and hypothesis The objective was to assess if puborectalis muscle (PRM) function changes in women with pelvic organ prolapse (POP) undergoing pessary treatment. Methods This was a prospective cohort study of women with symptomatic POP choosing pessary treatment. An interview, clinical examination and 3D/4D transperineal ultrasound were performed at baseline and at 3-month follow-up. POP was assessed using the Pelvic Organ Prolapse Quantification system (POPQ). Parameters compared between baseline and follow-up were: hiatal area at rest (HArest), maximal contraction (HActx), and maximal Valsalva maneuver (HAVal), displacement in contraction (DISPL-ctx, i.e., relative difference between HArest and HActx), and displacement in Valsalva (DISPL-Val, i.e., relative difference between and HAVal and HArest). Parameters were compared in women with and those without complete avulsion. Results A total of 162 women were assessed and 34 were included. Mean age was 64 years (SD 11.4), and mean BMI 24 kg/m2 (SD 3.1). Thirty-one women had a cystocele, 8 a uterine prolapse, and 12 had a posterior compartment prolapse. Twenty-one women (61.8%) had a POP stage II, and 13 (38.2%) a POP stage III. Ring pessaries were most frequently used (97%). In the entire group a statistically significant increase in DISPL-ctx was observed (mean difference 2.1%, p = 0.017). In the no avulsion group HArest and DISPL-ctx increased significantly (mean difference 4.1%, p = 0.016 and 2.7%, p = 0.016 respectively) and the increase in DISPL-ctx was higher than in the avulsion group (mean difference 2.7% vs 0.2%, p = 0.056). Conclusion Our results show that PRM function changes in women with POP undergoing pessary treatment and suggest that such change occurs mainly in the absence of complete avulsion.

V478: POP-Q Based Staging and Outcomes of Robotic Abdominal Sacrocolpopexy for Advanced Pelvic Organ Prolapse

2007 ◽  
Vol 177 (4S) ◽  
pp. 160-160
Author(s):  
Sarah E. McAchran ◽  
John C. Kefer ◽  
Courtenay Moore ◽  
Jihad H. Kaouk ◽  
Firouz Daneshgari
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Advanced Pelvic Organ Prolapse ◽  
Abdominal Sacrocolpopexy

HUBUNGAN ANTARA USIA, PARITAS, PEKERJAAN DAN INDEK MASSA TUBUH DENGAN KEJADIAN PROLAP ORGAN PANGGUL BERDASARKAN SKOR PELVIC ORGAN PROLAPSE QUANTIFICATION

2019 ◽  
Vol 2 (1) ◽  
pp. 39-44
Author(s):  
Ermawati Ermawati ◽  
Hafni Bachtiar
Keyword(s):  
Pelvic Organ Prolapse ◽  
Case Control Study ◽  
Pelvic Organ ◽  
Case Control ◽  
T Test ◽  
Pelvic Organ Prolapse Quantification ◽  
Chi Square ◽  
Chi Square Test ◽  
Control Study

Prolap organ panggul merupakan kondisi yang mempengaruhi kualitas hidup wanita. Prolaps organ panggul ini dapat disebabkan oleh perlukaan sewaktu proses persalinan, proses penuaan, komposisi jaringan pada seorang wanita, batuk- batuk kronis, atau sering melakukan pekerjaan berat. Pengenalan dini prolaps terkait dengan prognosis pemulihan anatomik dan fungsional organ panggul. Hingga kini, penerapannya dalam dunia klinis belum banyak sehingga pelatihan dan pembelajaran lebih lanjut tentang pelvic organ prolapse quantification (POPQ) jelas diperlukan. Penelitian ini dilakukan dengan metode case control study di polikilinik Obgin RSUP. Dr. M. Djamil Padang mulai bulan September 2013 sampai jumlah sampel terpenuhi sebanyak 98 orang. Dengan 49 orang kelompok kontrol dan 49 orang kelompok kasus .Analisis dilakukan untuk menilai hubungan usia, paritas, pekerjaan dan indek massa tubuh dengan kejadian prolap organ panggul berdasarkan skor POPQ. Data disajikan dalam bentuk tabel. Data diuji dengan t test dan chi square test. Jika p<0,05 menunjukan hasil yang bermakna. Terdapat hubungan yang bermakna antara usia dengan kejadian prolap organ panggul dengan (p<0,05) dan OR 27,871.terdapat hubungan yang bermakna antara paritas dengan kejadian prolap organ panggul dengan (p<0,05) dan OR 52,970.Dari analisa statistik pekerjaan tidak bisa di uji secara statistik.indek massa tubuh tidak terdapat hubungan yang bermakna terhadap kejadian prolap organ panggul.(p>0,05)

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