Physical Diagnosis in the Evaluation of Vaginal Relaxation

Baden, Wayne F.; Walker, Thomas A.

doi:10.1097/00003081-197212000-00021

Cited by 72 publications

(30 citation statements)

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“…This made it almost impossible to interpret the literature on pelvic organ prolapse. One of the first attempts to rectify this came in 1995 when the American College of Obstetricians and Gynecologists recognized the Baden and Walker "half-way" classification system in a technical bulletin on pelvic organ prolapse [5][6][7]. However, even this attempt to publish a standard was fraught with error as the system described in the technical bulletin was not that previously published as the "half-way" system but was more similar to a system described earlier by Friedman and Little [8].…”

Section: Discussionmentioning

confidence: 99%

Validation of a simplified technique for using the POPQ pelvic organ prolapse classification system

et al. 2006

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Our objective was to determine the inter-examiner agreement of a simplified pelvic organ prolapse quantification (POPQ) exam and to assess its correlation with the standard POPQ exam. This study consists of two parts; both were performed in a prospective, randomized, blinded fashion on women presenting with complaints attributed to pelvic organ support defects. The first study was done to determine the inter-examiner reliability of a simplified POPQ exam. The simplified POPQ exam is based on the POPQ with similar ordinal staging but with only four points measured instead of nine. Forty-eight women underwent exams by five different investigators. The order of exams was randomized and the examiners were blinded to the results of each other's findings. The results of these two exams were compared using weighted kappa statistics. The second part of the study was done to determine the inter-system agreement between the simplified vs standard POPQ exam. A group of 49 women were examined by four different investigators: one using the simplified and the other using standard POPQ exams. The order of the exams was randomized and the examiners were blinded to the results of each other's exam. Kendall's tau-b statistics were used to determine the inter-system agreement. For the inter-examiner reliability of the POPQ exam, the average age was 60+/-13 years. The weighted kappa statistics for the inter-examiner reliability of the simplified prolapse classification system were 0.86 for the overall stage, 0.89 and 0.86 for the anterior and posterior vaginal walls, respectively, 0.82 for the apex/cuff, and 0.72 for the cervix. All demonstrate significant agreement. For the inter-system association between the simplified POPQ and standard POPQ, the average age was 61+/-15 year. The Kendall's tau-b value for overall stage was 0.90, 0.83, and 0.87 for the anterior and posterior walls respectively, and 0.78 for the cuff/apex and 0.98 for the cervix. There is good inter-examiner agreement of a simplified POPQ classification system and it appears to have good inter-system association with the POPQ.

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Section: Discussionmentioning

confidence: 99%

Validation of a simplified technique for using the POPQ pelvic organ prolapse classification system

et al. 2006

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“…In response to this shortfall, Baden and Walker introduced the ''Half-Way System,'' in 1972 [10,11]. This system divided the vagina into three segments: the anterior vaginal wall, the apex and the posterior vaginal wall.…”

Section: Discussionmentioning

confidence: 99%

Is the pelvic organ prolapse quantification system (POPQ) being used? A survey of members of the International Continence Society (ICS) and the American Urogynecologic Society (AUGS)

Auwad

Freeman

Swift

2003

International Urogynecology Journal and Pelvic Floor Dysfunctio

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The authors performed a web-based questionnaire survey of 667 members of the ICS and AUGS to determine the current use of the pelvic organ prolapse quantification (POPQ) system by members of the professional societies which have advocated its use. Three hundred and eighty (57%) gynecologists responded. This international survey shows that only 40.2% of ICS and AUGS members who responded routinely use the POPQ system in their clinical practice and provides information on the most common reasons for not using it. The results highlight some of the concerns regarding the complex nature of the system and its acceptance and use by specialists worldwide. It also suggests the need for a simplified version of the classification system that is user-friendly and can be adopted by all practitioners.

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“…Prolapse severity was quantified using the Baden-Walker halfway system. 6 Reconstructive procedures for POP included anterior and posterior site-specific or conventional colporrhaphy without mesh for anterior and posterior vaginal walls prolapse and uterosacral ligament fixation for apical prolapse. The same attending surgeon performed all procedures.…”

Section: Methodsmentioning

confidence: 99%

Development of de novo urge incontinence in women post sling: The role of preoperative urodynamics in assessing the risk

Alperin

Abrahams‐Gessel

Wakamatsu

2007

Neurourology and Urodynamics

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Directed patient history is only minimally helpful in the identification of women at increased risk for the development of de novo urge urinary incontinence, with the exception of the complaint of increased daytime frequency. Women with elevated detrusor pressure during the filling phase of cystometry were more likely to develop urge urinary incontinence postoperatively. Therefore, we suggest that preoperative urodynamic evaluation, and specifically detrusor pressure > 15 cm H(2)O may help identify patients at increased risk of developing de novo urge urinary incontinence following the minimally invasive sling procedure.

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Physical Diagnosis in the Evaluation of Vaginal Relaxation

Cited by 72 publications

References 0 publications

Validation of a simplified technique for using the POPQ pelvic organ prolapse classification system

Validation of a simplified technique for using the POPQ pelvic organ prolapse classification system

Is the pelvic organ prolapse quantification system (POPQ) being used? A survey of members of the International Continence Society (ICS) and the American Urogynecologic Society (AUGS)

Development of de novo urge incontinence in women post sling: The role of preoperative urodynamics in assessing the risk

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