Diagnosing pubovisceral avulsions: a systematic review of the clinical relevance of a prevalent anatomical defect.

International Urogynecology Journal
Karin LammersKirsten B Kluivers

Abstract

The aims of this systematic literature review were to assess whether the detection of pubovisceral avulsions using magnetic resonance (MR) imaging or perineal ultrasonography was clinically relevant in women with pelvic floor dysfunction and to evaluate the relation with anatomy, symptoms, and recurrence after surgery. We performed a systematic literature review using three bibliographical databases (PubMed, Embase, and CINAHL) as data sources. Clinical studies were included in which pubovisceral avulsions were studied in relation to pelvic organ prolapse (POP) stage, pelvic floor symptoms, and/or recurrence of POP after surgery. Ultimately, 21 studies met the inclusion criteria. POP stage and recurrence of POP after surgery were strongly associated with pubovisceral avulsions. Contradictory results were found regarding the relation between pubovisceral avulsions and urinary symptoms and symptoms of anorectal dysfunction. Pubovisceral avulsions, as diagnosed by MR imaging or perineal ultrasonography, are associated with higher stages of POP and recurrence of POP after surgery.

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Citations

May 3, 2014·International Urogynecology Journal·Mitchell B BergerJohn O DeLancey
Dec 12, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Tanvaa TansatitPiyaporn Phanchart
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Dec 18, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·Kwm van DelftK B Kluivers
Jun 19, 2015·International Urogynecology Journal·Kate V MeriwetherRebecca G Rogers
Dec 12, 2012·American Journal of Obstetrics and Gynecology·Karin LammersKirsten Birgit Kluivers
Dec 30, 2014·Gynécologie, obstétrique & fertilité·K Nyangoh TimohD Moszkowicz
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