Pelvic organ prolapse as a function of levator ani avulsion, hiatus size, and strength
نویسندگان
چکیده
منابع مشابه
Levator ani subtended volume: a novel parameter to evaluate levator ani muscle laxity in pelvic organ prolapse.
OBJECTIVE We describe a new parameter based on magnetic resonance 3-dimensional (3D) reconstructions proposed to evaluate levator ani muscle (LAM) laxity in women with pelvic organ prolapse (POP). STUDY DESIGN This is an institutional review board-approved, retrospective chart review of 35 women with POP, stages I-IV. The 3D Slicer software package was used to perform 2-dimensional and 3D mea...
متن کاملEnlargement of the levator hiatus in female pelvic organ prolapse: cause or effect?
AIM This study was undertaken to investigate whether female pelvic organ prolapse repair changes levator hiatal biometry. METHODS Retrospective analysis of clinical and translabial ultrasound volume data of women who underwent prolapse surgery at a tertiary urogynaecological unit between March 2005 and April 2009. Data sets of 81 women were analysed who had undergone an interview, clinical as...
متن کاملVaginal support as determined by levator ani defect status 6 weeks after primary surgery for pelvic organ prolapse.
OBJECTIVE To evaluate whether major levator ani muscle defects were associated with differences in postoperative vaginal support after primary surgery for pelvic organ prolapse (POP). METHODS A retrospective chart review of a subgroup of patients in the Organ Prolapse and Levator (OPAL) study. Of the 247 women recruited into OPAL, 107 underwent surgery for prolapse and were the cohort for the...
متن کاملLevator ani avulsion and risk of recurrence after surgery for anterior compartment prolapse: Current status
Objective Avulsion seems to be associated with recurrence of pelvic organ prolapse (POP) following surgery. The overall prevalence of levator ani avulsion in female gender after vaginal delivery is 13-36% at the ultrasound examination (US) and 20% at MRI. Relationship between avulsion of levator ani muscle (LAM) and prolapse of pelvic floor organs is well established in literature, even if ther...
متن کاملLevator trauma is associated with pelvic organ prolapse.
OBJECTIVE To estimate the risk of prolapse associated with levator avulsion injury among a urogynaecological clinic population. DESIGN Retrospective observational study. SETTING Tertiary urogynaecological unit. SAMPLE A total of 934 women seen for interview, examination using the pelvic organ prolapse quantification (POP-Q) staging system and imaging of the levator ani muscle by four-dime...
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ژورنال
عنوان ژورنال: American Journal of Obstetrics and Gynecology
سال: 2019
ISSN: 0002-9378
DOI: 10.1016/j.ajog.2019.03.004