VP68.04: Is levator avulsion associated with vaginal laxity

Alexander, J.; Gillor, Moshe; Shek, Ka Lai; Dietz, Hans Peter

doi:10.1002/uog.23497

Cited by 1 publication

(5 citation statements)

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“…Medical interviews were chosen as a method to diagnose or evaluate VL in 19 studies, which involved 4,409 subjects ( Table 3 ). 5 45 46 47 48 53 54 55 56 57 58 59 60 61 62 63 64 65 66 Eleven studies made a diagnosis effort of VL using interviews only. 46 47 53 54 55 57 58 59 60 61 63 Four studies chose interviews in combination with other measurement options, 48 56 62 65 and one study added the VL degree of bother evaluation.…”

Section: Resultsmentioning

confidence: 99%

“…Other evaluations reported in the included studies, such as vaginal tactile imaging (VTI), 71 vaginal biomechanic analyzer (VBA), 72 four-dimensional translabial ultrasonography (4D-TLUS), 5 32 46 54 55 surface electromyography (sEMG), 59 vaginal health index, 53 71 and other histological assessment, 68 are presented in Table 6 .…”

Section: Resultsmentioning

confidence: 99%

“… 75 Another imaging device, 4D-TLUS, is used to record and assess the topography of the pelvis and vagina, therefore diagnosing levator avulsion and hyperdistension. 32 46 54 55 …”

Section: Discussionmentioning

confidence: 99%

“…Medical interviews were chosen as a method to diagnose or evaluate VL in 19 studies, which involved 4,409 subjects (Table 3). [5,[45][46][47][48][53][54][55][56][57][58][59][60][61][62][63][64][65][66] Eleven studies made a diagnosis effort of VL using interviews only [46,47,[53][54][55][57][58][59][60][61]63] Four studies chose interviews in combination with other measurement options, [48,56,62,65] and one study added the VL degree of bother evaluation. [5] Four studies reported treatment evaluation by conducting interviews.…”

Section: Medical Interviewsmentioning

confidence: 99%

“…[75] Another imaging device, 4D-TLUS, is used to record and assess the topography of the pelvis and vagina, therefore diagnosing levator avulsion and hyperdistension. [32,46,54,55] Photograph evaluation was used by Mortiers et al and Mitsyuki et al in their studies to evaluate vaginal introitus through visual inspection. [50,51] Diagnosing VL using photographs, as described by Mortiers et al [50] is reliable, reproducible, and valid.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

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Current Perspectives in Vaginal Laxity Measurement: A Scoping Review

Aulia

Valeria

2023

Arch Plast Surg

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This scoping review aimed to identify and categorize the available measurement options for vaginal laxity (VL) their indications of use, and whether these measurements can sufficiently provide objective clinical judgment for cases indicated for vaginal rejuvenation with many treatment options nowadays. Systematic searches were conducted on five electronic databases, manually searching articles’ bibliographies and predetermined key journals with no date or study design limitations. We included all studies involving VL in their inclusion criteria, treatment indications, and outcome parameters. We used the Arksey and O’Malley frameworks as the guideline in writing this scoping review. Of the 9,464 articles identified, 66 articles and 11,258 subjects were included in the final analysis. The majority of studies were conducted in obstetrics and gynecology (73%), followed by plastic surgery (10%), medical rehabilitation (4.5%), dermatology (4.5%), and others (8%). Most studies originated from the North American region (30%). The following measurement tools were used: (1) interviews, (2) questionnaires, (3) physical/digital examinations, (4) perineometers, and (5) others. Our results suggested that subjective perception of laxity confirmed by directed interview or questionnaire is sufficient to confirm VL. Additional evaluation of PFM through digital examination or perineometer or other preferred tools and evaluation of sexual function through validated questionnaire (FSFI, FSDS-R, etc) should follow to ensure holistic care to patients. Future research on the psychometric properties (reliability and validity) of commonly used measurements and the correlation in between subjective and objective measurements should be initiated before their clinical applications.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“… 75 Another imaging device, 4D-TLUS, is used to record and assess the topography of the pelvis and vagina, therefore diagnosing levator avulsion and hyperdistension. 32 46 54 55 …”

Section: Discussionmentioning

confidence: 99%