Perineorrhaphy quantitative assessment (Pe-QA)

Haylen, Bernard T.; Younis, Mayada; Naidoo, Sushen; Birrell, Warwick

doi:10.1007/s00192-014-2528-1

Cited by 17 publications

(23 citation statements)

References 14 publications

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“…A large or gaping GH is sometimes treated with perineorrhaphy to increase perineal body length and decrease genital hiatus size. Conversely, for a GH that is too small, some surgeons may shorten the PB in order to increase the GH 7-8 .…”

Section: Introductionmentioning

confidence: 99%

Pelvic Organ Prolapse Stage and the Relationship to Genital Hiatus and Perineal Body Measurements

Dunivan

Lyons²,

Jeppson³

et al. 2016

Female Pelvic Med Reconstr Surg

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Objectives Describe the relationship between genital hiatus (GH) and perineal body (PB) measurements with increasing pelvic organ prolapse stage in a large cohort of women referred to Urogynecology clinic for pelvic floor disorders. Methods Retrospective chart review of all new patients seen in an academic Urogynecology clinic between 1/2007 and 9/2011. Data were extracted from a standardized intake form. All patients underwent a Pelvic Organ Prolapse Quantification (POPQ) exam. Descriptive statistics compared the study population. Analysis of variance (ANOVA) was used to compare GH and PB measurements by prolapse stage. Fishers least significant differences was used for post hoc comparisons of means between prolapse stages. Pearson's correlations were used to evaluate the associations between GH and PB measurements and patient characteristics. Results 1595 women with POPQ exams comprised the study population. The mean age was 55.3 ±14.8 years with a BMI 30.3 ± 7.6 kg/m2, most women were parous (90%), 40% were Hispanic, 33% had undergone prior hysterectomy for indications exclusive of pelvic organ prolapse. Woman with any prior prolapse repair were excluded, 6.5% had a prior incontinence procedure. PB measurements were slightly larger for Stage 2 pelvic organ prolapse (POP), but overall did not vary across other prolapse stages (all P >0.05). In contrast, GH measurements increased through stage 3 POP, GH measurements decreased for stage 4 POP. Conclusions Mean PB measurements did not demonstrate large changes over prolapse stage, while GH measurements increased through stage 3 POP. GH serves as an important marker for underlying pelvic muscle damage.

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Section: Introductionmentioning

confidence: 99%

Pelvic Organ Prolapse Stage and the Relationship to Genital Hiatus and Perineal Body Measurements

Dunivan

Lyons²,

Jeppson³

et al. 2016

Female Pelvic Med Reconstr Surg

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“…Live meetings on the document took place in Washington, Rio, Nice and Montreal. [54]: Thickness (cm) of the mid-perineum in the midline (Fig. 44).…”

Section: Iii: Obliterative Proceduresmentioning

confidence: 99%

“…(e) Perineal Gap (PG) [52][53][54]: Thinned out medial area (cm) between Moynihan forceps placed bilaterally where the labia minora meet the perineum (Fig. 45).…”

Section: Iii: Obliterative Proceduresmentioning

confidence: 99%

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Erratum to: An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP)

et al. 2016

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“…Additionally, the rate of recurrent anterior vaginal wall prolapse is higher in patients with a wider genital hiatus . On the other hand, an increase in PB and a decrease in GH length could be used as measure of the extent of perineorrhaphy . A sum of GH and PB measurements with a cutoff of 7 cm is associated with higher prolapse grade and levator ani muscle avulsion on Valsalva …”

Section: Introductionmentioning

confidence: 99%

Perioperative changes in superficial pelvic organ prolapse quantification system measurements after prolapse surgery

Durnea

Basu

Dadhwal

et al. 2019

Intl J Gynecology & Obste

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Objectives To evaluate the values of perineal body (PB) and genital hiatus (GH) before and after posterior repair. We also evaluated the introital surface area (ISA)—a sum of transverse and longitudinal GH measurements. Methods This secondary analysis of a prospective case series included 94 women undergoing posterior vaginal prolapse surgery at a consultant urogynecology clinic between October 3, 2011, and October 2, 2014. Patients were examined in clinic using the pelvic organ prolapse quantification system with Valsalva maneuver, and in theatre pre‐ and postoperatively with traction. Results Immediately postoperatively, a statistically significant change (all P<0.001) was noted for GH (mean difference −0.59 cm), PB (−0.56 cm), and ISA (−0.87 cm) compared with preoperative measurement. This effect was maintained for GH (−0.42 cm) and PB (−0.40 cm) at 2 months’ follow‐up (both P<0.001), and for PB alone (−0.43 cm; P=0.04) at 8 months. ISA had a moderate correlation with GH (r=0.55). Conclusions Posterior repair significantly improved PB length at months 2 and 8, and GH length at month 2. ISA did not correlate with prolapse stage. Changes in GH were not maintained beyond postoperative month 2.

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Perineorrhaphy quantitative assessment (Pe-QA)

Abstract: Pe and the anatomical results of such surgery can be subject to quantitative assessment allowing comparison studies between different forms of Pe and possibly other types of perineal surgeries.

Cited by 17 publications

References 14 publications

Pelvic Organ Prolapse Stage and the Relationship to Genital Hiatus and Perineal Body Measurements

Pelvic Organ Prolapse Stage and the Relationship to Genital Hiatus and Perineal Body Measurements

Erratum to: An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP)

Perioperative changes in superficial pelvic organ prolapse quantification system measurements after prolapse surgery

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