Does Patient Posture Affect the Ultrasound Evaluation of Pelvic Organ Prolapse?

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
Meirav BravermanHans Peter Dietz

Abstract

Translabial ultrasound (US) imaging is an emerging method for the evaluation of pelvic organ prolapse (POP). Normative data to date are limited to imaging in the supine position. The purpose of this study was to evaluate the effect of posture changes on US pelvic organ mobility. This work was a retrospective study of 175 women seen in a tertiary urogynecologic center for symptoms of lower urinary tract and pelvic floor dysfunction. All underwent a standardized interview, POP quantification prolapse assessment, and 4-dimensional translabial US examination in supine and standing positions. Offline measurement of organ descent on the Valsalva maneuver was undertaken at a later date and was blinded against all other data. The mean age was 58 (SD, 13.5; range, 17 to 89) years, with a mean body mass index of 29 (SD, 6.1; range, 18 to 53) kg/m2 . In total, 58.9% (n = 103) presented with symptoms of prolapse. Clinically, 82.8% (n = 145) had substantial prolapse on the POP quantification assessment. On imaging, bladder, uterine, and rectal ampulla positions were significantly lower, and the hiatal area on the Valsalva maneuver was larger in the standing position (P < .03). On receiver operating characteristic statistics assessing correl...Continue Reading

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Citations

Jun 6, 2020·International Urogynecology Journal·Keiichi NaritaMasahiro Jinzaki
Jul 13, 2020·International Urogynecology Journal·Jerome MelonHans Peter Dietz
Aug 25, 2020·Current Opinion in Obstetrics & Gynecology·Hans Peter Dietz
May 5, 2021·International Urogynecology Journal·Yu Hwee TanHans Peter Dietz
Sep 14, 2021·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Baihua ZhaoShanya Huang

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