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International Urogynecology Journal

Published in:

01-07-2013 | Original Article

Does levator avulsion cause distension of the genital hiatus and perineal body?

Authors: I. Volloyhaug, V. Wong, K. L. Shek, H. P. Dietz

Published in: International Urogynecology Journal | Issue 7/2013

Abstract

Introduction and hypothesis

Levator avulsion is associated with prolapse and prolapse recurrence after reconstructive surgery. We set out to determine whether clinical measurement of the genital hiatus and the perineal body (gh + pb) on maximum Valsalva can predict levator avulsion.

Methods

A total of 295 women attending a tertiary referral service underwent 4D translabial ultrasound imaging and clinical examination using the International Continence Society (ICS) Pelvic Organ Prolapse Quantification system (POP-Q). Analysis of ultrasound data sets for levator avulsion was performed using tomographic ultrasound imaging. The predictive performance of gh + pb for avulsion was tested using receiver-operating characteristic curves.

Results

Optimal sensitivity [70 %, 95 % confidence interval (CI) 59–79 %] and specificity (70 %, 95 % CI 66–72 %) were achieved with a cut-off of 8.5 cm for gh + pb.

Conclusions

A gh + pb measurement ≥ 8.5 cm may help to identify women with levator avulsion who are at increased risk of prolapse recurrence.

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Title: Does levator avulsion cause distension of the genital hiatus and perineal body?
Authors: I. Volloyhaug
V. Wong
K. L. Shek
H. P. Dietz
Publication date: 01-07-2013
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 7/2013
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1993-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Does levator avulsion cause distension of the genital hiatus and perineal body?

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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