“Eyeball” POP-Q examination: shortcut or valid assessment tool?

Karp, Deborah R.; Peterson, Thais V.; Jean-Michel, Marjorie; Lefevre, Roger; Davila, G. Willy; Aguilar, Vivian C.

doi:10.1007/s00192-010-1139-8

Cited by 9 publications

(7 citation statements)

References 9 publications

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“…Other authors have proposed an "eyeball" estimation of the nine measures [11]. Therefore, while the POP-Q system is advancing our understanding of the etiology and treatment of pelvic organ prolapse, it does not appear to be a user-friendly system that can be advocated for worldwide clinical use.…”

Section: Discussionmentioning

confidence: 99%

Center-by-center results of a multicenter prospective trial to determine the inter-observer correlation of the simplified POP-Q in describing pelvic organ prolapse

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Center-by-center results of a multicenter prospective trial to determine the inter-observer correlation of the simplified POP-Q in describing pelvic organ prolapse

et al. 2011

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“…When a POP‐Q stage 0 or I was indicative of anatomic success, the success rate ranged from 39.7% to 75% for anterior colporrhaphy and 81% to 95% for mesh repair, and superior outcomes of the mesh repair were observed during the 1‐year follow‐up 17‐21 . Although the POP‐Q system has proved useful for assessing the anatomic success of POP surgery, it is not widely used in clinical practice; approximately 40% of pelvic floor surgeons use it in clinical practice 22,23 . The reasons for this low utilization include the perception that the POP‐Q system is complex and confusing, difficult to learn, and too time‐consuming 23 .…”

Section: Discussionmentioning

confidence: 99%

Transperineal pelvic floor ultrasound for analyzing the outcomes of pelvic floor surgery for the treatment of anterior compartment prolapse: A comparative study of transvaginal mesh and native‐tissue repair

Liu

et al. 2021

LUTS

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Objective To compare the outcomes of transvaginal mesh (TVM) and native‐tissue repair (NTR) for the repair of anterior compartment prolapse. Methods This retrospective study involved 90 patients with anterior compartment prolapse who underwent pelvic organ prolapse surgery between January 2018 and October 2020. A TVM was used to treat 53 patients and 37 underwent NTR. All patients underwent a standardized interview, clinical examination, and four‐dimensional pelvic floor ultrasound (PFUS) before and after the surgery. The primary outcome was anatomic recurrence evaluated by ultrasonic parameters. The secondary outcomes were subjective recurrence and complications. Results Subjective recurrence was 9.43% (5/53) for TVM and 16.22% (6/37) for NTR (P = .522). Significant recurrence of prolapse on ultrasound occurred in five patients (9.43%) after TVM and 12 (32.43%) after NTR; there was a significant difference between the TVM and NTR groups (P = .006). In the TVM group, the mesh was visible on ultrasound in each patient. The mesh exposure rate was 1.89% (1/53). The postoperative hiatal area reduction in the TVM group, compared with the NTR group, was statistically significant (5.55 ± 4.71 cm2 vs 3.09 ± 5.61 cm2, P = .027). The incidence of de novo stress urinary incontinence was higher in the TVM group (20.75% vs 2.70%, P = .03). After surgery, there were significant differences between the two groups based on bladder descent (12.02 ± 8.64 mm vs 22.41 ± 13.95 mm, P = .000) and urethral rotation angle (25.26 ± 13.92° vs 40.27 ± 23.72°, P = .001). Conclusion PFUS is effective for evaluating postoperative outcomes. TVM facilitates a better anatomic cure than NTR for anterior compartment prolapse.

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“…(halfway to hymen) grade 2 -within 2 cm of the introitus/hymen, grade 3 -passing the introitus/hymen, grade 4 -maximum descent /or non-reducible prolapse passing the introitus [1]. Reports suggest that the estimations with either method coincide [16]. Since all our subjects were unaware of prolapse, none was classified as grade 4.…”

Section: F O R P U B L I C a T I O Nmentioning

confidence: 99%

Pelvic floor prolapse and vitamin D levels are we doing enough? A research paper

Al-Mehaisen¹

2023

It Journ Gyn Obs

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Objective: Pelvic organ prolapse is a common problem that negatively affects the quality of life of women and requires a wide range of management steps that can involve serious surgical interventions. This study aims to evaluate a possible relation between pelvic organ prolapse presence and severity, and vitamin D levels. We don't aim to assess the incidence of pelvic floor prolapse in Jordan in this study. Materials and Methods:This was a cross-sectional study of non-pregnant females with pelvic organ prolapse presented to gynecology outpatient clinics for a 1-year duration. Full clinical history and gynecological evaluation were recorded and correlated to plasma vitamin D levels. An Independent Ttest was used to analyze the possible relationship between vitamin levels and POP. This study was approved by the Ethical Review Committee, High Education Deanship of the Jordan University for Science and Technology. This study adhered to the principles of the Declaration of Helsinki.Results: One hundred forty women were recruited, with an average age of 42.1±13.3 and a mean parity of 5.73±1.88. The mean vitamin D levels were 12.8±11.4, lower than the international standards. The serum levels of vitamin D were markedly lower in the prolapse group than in the non-prolapse group (p=0.046). Moreover, lower vitamin D levels correlate with multisite manifestation (p=0.022), rectocele (p=0.007), and advanced stage (p=0.053). Conclusions:The study concluded that patients with pelvic organ prolapse showed lower vitamin D levels than those without prolapse. Moreover, it seems that vitamin D deficiency can be independently correlated to multisite prolapse and advanced grades.

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“Eyeball” POP-Q examination: shortcut or valid assessment tool?

Abstract: Among examiners who routinely perform POP-Q examinations, there is no significant difference between "eyeball"/estimated and measured POP-Q values and stage.

Cited by 9 publications

References 9 publications

Center-by-center results of a multicenter prospective trial to determine the inter-observer correlation of the simplified POP-Q in describing pelvic organ prolapse

Center-by-center results of a multicenter prospective trial to determine the inter-observer correlation of the simplified POP-Q in describing pelvic organ prolapse

Transperineal pelvic floor ultrasound for analyzing the outcomes of pelvic floor surgery for the treatment of anterior compartment prolapse: A comparative study of transvaginal mesh and native‐tissue repair

Pelvic floor prolapse and vitamin D levels are we doing enough? A research paper

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