2008
DOI: 10.1007/s00192-007-0546-y
|View full text |Cite
|
Sign up to set email alerts
|

Pelvic architectural distortion is associated with pelvic organ prolapse

Abstract: The aim of this study was to determine whether there is an association between architectural distortion seen on magnetic resonance (MR) scans (lateral "spill" of the vagina and posterior extension of the space of Retzius) and pelvic organ prolapse. Secondary analysis of MR imaging scans from a case-control study of women with prolapse (maximum point > or = + 1 cm; N = 144) and normal controls (maximum point < or = -1 cm; N= 126) was done. Two independent investigators, blinded to prolapse status and previously… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1
1

Citation Types

4
33
0
2

Year Published

2011
2011
2018
2018

Publication Types

Select...
8

Relationship

3
5

Authors

Journals

citations
Cited by 48 publications
(39 citation statements)
references
References 16 publications
(25 reference statements)
4
33
0
2
Order By: Relevance
“…Another explanation could be that birth related injuries may result in an architectural distortion of the pubovisceral muscle attachment to the pubic bone, without necessarily an avulsion. 16 The connective tissue and muscular component of the supportive structures of the pelvic floor are subject to such distortion at the time of extreme loading such as that of the time of delivery.…”
Section: Discussionmentioning
confidence: 99%
“…Another explanation could be that birth related injuries may result in an architectural distortion of the pubovisceral muscle attachment to the pubic bone, without necessarily an avulsion. 16 The connective tissue and muscular component of the supportive structures of the pelvic floor are subject to such distortion at the time of extreme loading such as that of the time of delivery.…”
Section: Discussionmentioning
confidence: 99%
“…The abnormal appearance of pelvic sidewall tissues at the level of the vesical neck was called “architectural distortion” by Huebner [53] in 2009. This was defined as lateral “spill” of the vagina in the axial plane beyond the normal location (fig 9).…”
Section: Diagnosing a Paravaginal Defectmentioning
confidence: 99%
“…For example, a pattern of soft tissue abnormality termed “architectural distortion,” or AD, was recently described in which the lateral vaginal wall is seen to extend beyond its normal location, appearing to contact the obturator internus muscle [10]. Women with AD are more likely (78%) to have anterior wall prolapse than both women with levator defects but no AD (61%), as well as those with normal levators and no AD (31%) [10].…”
Section: Introductionmentioning
confidence: 99%
“…For example, a pattern of soft tissue abnormality termed “architectural distortion,” or AD, was recently described in which the lateral vaginal wall is seen to extend beyond its normal location, appearing to contact the obturator internus muscle [10]. Women with AD are more likely (78%) to have anterior wall prolapse than both women with levator defects but no AD (61%), as well as those with normal levators and no AD (31%) [10]. This distortion occurs in a structurally important region of anterior vaginal wall support at the interconnection between three key support structures: 1) the arcus tendineus fascia pelvis, or fascial arch; 2) arcus tendineus levator ani, or levator arch; and 3) the pubic portion of the levator ani muscle.…”
Section: Introductionmentioning
confidence: 99%