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Open Access 01-12-2012 | Review Article

Diagnosing pubovisceral avulsions: a systematic review of the clinical relevance of a prevalent anatomical defect

Authors: Karin Lammers, Jurgen J. Fütterer, Mathias Prokop, Mark E. Vierhout, Kirsten B. Kluivers

Published in: International Urogynecology Journal | Issue 12/2012

Abstract

The aims of this systematic literature review were to assess whether the detection of pubovisceral avulsions using magnetic resonance (MR) imaging or perineal ultrasonography was clinically relevant in women with pelvic floor dysfunction and to evaluate the relation with anatomy, symptoms, and recurrence after surgery. We performed a systematic literature review using three bibliographical databases (PubMed, Embase, and CINAHL) as data sources. Clinical studies were included in which pubovisceral avulsions were studied in relation to pelvic organ prolapse (POP) stage, pelvic floor symptoms, and/or recurrence of POP after surgery. Ultimately, 21 studies met the inclusion criteria. POP stage and recurrence of POP after surgery were strongly associated with pubovisceral avulsions. Contradictory results were found regarding the relation between pubovisceral avulsions and urinary symptoms and symptoms of anorectal dysfunction. Pubovisceral avulsions, as diagnosed by MR imaging or perineal ultrasonography, are associated with higher stages of POP and recurrence of POP after surgery.

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Title: Diagnosing pubovisceral avulsions: a systematic review of the clinical relevance of a prevalent anatomical defect
Authors: Karin Lammers
Jurgen J. Fütterer
Mathias Prokop
Mark E. Vierhout
Kirsten B. Kluivers
Publication date: 01-12-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 12/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1805-0

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Diagnosing pubovisceral avulsions: a systematic review of the clinical relevance of a prevalent anatomical defect

Abstract

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