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International Urogynecology Journal
Published in: International Urogynecology Journal 10/2009

Open Access 01-10-2009 | Original Article

Symptoms of pelvic floor dysfunction are poorly correlated with findings on clinical examination and dynamic MR imaging of the pelvic floor

Authors: Suzan R. Broekhuis, Jurgen J. Fütterer, Jan C. M. Hendriks, Jelle O. Barentsz, Mark E. Vierhout, Kirsten B. Kluivers

Published in: International Urogynecology Journal | Issue 10/2009

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Abstract

Introduction and hypothesis

The aim of the study was to determine whether patients’ symptoms agree with findings on clinical examination and dynamic MR imaging of the pelvic floor.

Methods

Symptoms of pelvic organ dysfunction were measured with the use of three validated questionnaires. The domain scores were compared with POP-Q and dynamic MR imaging measurements. The Spearman’s rank correlation coefficient (r s) was used to assess agreement.

Results

Only the domain score genital prolapse was significantly correlated in the positive direction with the degree of pelvic organ prolapse as assessed by POP-Q and dynamic MR imaging (r s = 0.64 and 0.27, respectively), whereas the domain score urinary incontinence was inversely correlated (r s = −0.32 and −0.35, respectively).

Conclusions

The sensation or visualization of a bulge in the vagina was the only symptom which correlated positively with the degree of pelvic organ prolapse, and clinical examination and dynamic MR imaging showed similar correlation in this respect.
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Metadata
Title
Symptoms of pelvic floor dysfunction are poorly correlated with findings on clinical examination and dynamic MR imaging of the pelvic floor
Authors
Suzan R. Broekhuis
Jurgen J. Fütterer
Jan C. M. Hendriks
Jelle O. Barentsz
Mark E. Vierhout
Kirsten B. Kluivers
Publication date
01-10-2009
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 10/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-0938-2

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