Effects of a full bladder and patient positioning on pelvic organ prolapse assessment

Obstetrics and Gynecology
W Andre SilvaMickey M Karram

Abstract

To evaluate the effect of bladder filling and patient position on the degree of pelvic organ prolapse (of the maximally prolapsed segment). Fifty consecutive patients with symptomatic pelvic organ prolapse were evaluated between February 2003 and August 2003. Patients were examined in the supine lithotomy and standing position at maximal bladder capacity and then in the supine lithotomy and standing position with an empty bladder. The International Continence Society's Pelvic Organ Prolapse Quantification system was used. The mean descent of prolapse beyond the hymen was 0.39 cm in the full/supine setting, 1.3 cm, full/standing, 1.9 cm, empty/supine, and 2.7 cm, empty/standing. All mean paired differences in the six examination pairs (empty/standing compared with empty/supine, full/standing compared with full/supine, full/standing compared with empty/standing, full/supine compared with empty/supine, full/standing compared with empty/supine, and full/supine compared with empty/standing) were statistically significantly different. The largest mean paired difference was noted in the full/supine compared with empty/standing pair (-2.3, 95% confidence interval -2.8 to -1.8, P <.001). Age and parity were not associated with differenc...Continue Reading

References

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Citations

May 7, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·G Alessandro DigesuDudley Robinson
Apr 24, 2009·International Urogynecology Journal and Pelvic Floor Dysfunction·G Alessandro DigesuVik Khullar
May 5, 2010·International Urogynecology Journal·Deborah R KarpVivian C Aguilar
Jan 27, 2005·Journal of Women's Health
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Apr 18, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Nir HayaYoram Abramov
Jul 29, 2011·Academic Radiology·Harpreet K PannuJohn Eng
Aug 26, 2015·Journal of Minimally Invasive Gynecology·Debra S Heller
Jul 3, 2013·BJOG : an International Journal of Obstetrics and Gynaecology·Y ChenM K Guess
Oct 2, 2015·International Urogynecology Journal·Ganesh ThiagamoorthyDudley Robinson
Jun 1, 2014·Post Reproductive Health·Ganesh ThiagamoorthyDudley Robinson
Sep 2, 2005·Obstetrics and Gynecology·Anne M Weber, Holly E Richter
Mar 29, 2012·Female Pelvic Medicine & Reconstructive Surgery·Thythy PhamLinda Brubaker
Apr 27, 2017·International Urogynecology Journal·Nuria-Laia Rodríguez-MiasHans Peter Dietz
Jul 22, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Meirav BravermanHans Peter Dietz

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