[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
IJRR Information::
For Authors::
For Reviewers::
Subscription::
News & Events::
Web Mail::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
ISSN
Hard Copy 2322-3243
Online 2345-4229
..
Online Submission
Now you can send your articles to IJRR office using the article submission system.
..

AWT IMAGE

AWT IMAGE

:: Volume 22, Issue 2 (4-2024) ::
Int J Radiat Res 2024, 22(2): 473-479 Back to browse issues page
Clinical application of three-dimensional pelvic floor ultrasound in patients with pelvic organ prolapse and the application value of levator hiatus and levator ani indicators
Z. Wang , Y. Chen , A. Huang
Taizhou People's Hospital, Department of Gynecology and Obstetrics, Taizhou, Jiangsu, 225300, China
Abstract:   (319 Views)
Background: Pelvic organ prolapse is a common gynecological condition affecting many women and impairing quality of life. Imaging modalities like 3D ultrasound can provide a valuable anatomical and morphological evaluation of pelvic floor support defects contributing to prolapse. Materials and Methods: This study evaluated the clinical utility of 3D transperineal pelvic floor ultrasound for assessing pelvic organ prolapse in women. Prolapse was quantified using the Pelvic Organ Prolapse Quantification (POP-Q) system based on ultrasound imaging. Additional ultrasound parameters measured were the levator hiatus area, levator ani muscle thickness, and hiatal balloon volume on Valsalva. Results: 3D ultrasound enabled comprehensive visualization and staging of pelvic organ prolapse. Significant stepwise differences were found between mild, moderate, and severe prolapse groups in the levator hiatus area, levator ani thickness, and balloon volume. Ultrasound measurements showed excellent reproducibility. Conclusion: 3D pelvic floor ultrasound allows accurate diagnosis and staging of pelvic organ prolapse severity. Quantified ultrasound indicators of levator injury and pelvic floor laxity correlate with prolapse grade. Our findings demonstrate that 3D ultrasound is a valuable imaging modality for comprehensive pelvic organ prolapse assessment in clinical practice.
Keywords: Pelvic organ prolapse, three-dimensional pelvic floor ultrasound, pelvic organ prolapse quantification, levator.
Full-Text [PDF 624 kb]   (125 Downloads)    
Type of Study: Original Research | Subject: Radiation Biology
References
1. Jelovsek JE, Maher C, Barber MD (2007) Pelvic organ prolapse. The Lancet, 369(9566): 1027-38. [DOI:10.1016/S0140-6736(07)60462-0]
2. Temml C, Heidler S, Ponholzer A, Madersbacher S (2005) Prevalence of the overactive bladder syndrome by applying the International Continence Society definition. European Urology, 48(4): 622-7. [DOI:10.1016/j.eururo.2005.04.026]
3. Miedel A, Tegerstedt G, Mæhle-Schmidt M, et al. (2009) Nonobstetric risk factors for symptomatic pelvic organ prolapse. Obstetrics & Gynecology, 113(5):1089-97. [DOI:10.1097/AOG.0b013e3181a11a85]
4. Sze EH, Sherard III GB, Dolezal JM (2002) Pregnancy, labor, delivery, and pelvic organ prolapse. Obstetrics & Gynecology. 100(5): 981-6. [DOI:10.1097/00006250-200211000-00027]
5. Ellerkmann RM, Cundiff GW, Melick CF, et al. (2001) Correlation of symptoms with location and severity of pelvic organ prolapse. American Journal of Obstetrics and Gynecology,185(6): 1332-8. [DOI:10.1067/mob.2001.119078]
6. Novi JM, Jeronis S, Morgan MA, Arya LA (2005) Sexual function in women with pelvic organ prolapse compared to women without pelvic organ prolapse. The Journal of Urology, 173(5): 1669-72. [DOI:10.1097/01.ju.0000154618.40300.c8]
7. De Boer T, Salvatore S, Cardozo L, et al. (2010) Pelvic organ prolapse and overactive bladder. Neurourology and Urodynamics: Official Journal of the International Continence Society, 29(1): 30-9. [DOI:10.1002/nau.20858]
8. Burrows LJ, Meyn LA, Walters MD, Weber AM (2004) Pelvic symptoms in women with pelvic organ prolapse. Obstetrics & Gynecology, 104(5 Part 1):982-8. [DOI:10.1097/01.AOG.0000142708.61298.be]
9. Digesu GA, Chaliha C, Salvatore S, et al. (2005) The relationship of vaginal prolapse severity tosymptoms and quality of life. BJOG. International Journal of Obstetrics & Gynaecology, 112(7): 971-6. [DOI:10.1111/j.1471-0528.2005.00568.x]
10. Persu C, Chapple C, Cauni V, et al. (2011) Pelvic organ prolapse quantification system (POP-Q)-a new era in pelvic prolapse staging. Journal of Medicine and Life, 4(1): 75.
11. Singh K, Reid WM, Berger LA (2001) Assessment and grading of pelvic organ prolapse by use of dynamic magnetic resonance imaging. American Journal of Obstetrics and Gynecology, 185(1): 71-7. [DOI:10.1067/mob.2001.113876]
12. Dietz HP (2019) Ultrasound in the assessment of pelvic organ prolapse. Best Practice & Research Clinical Obstetrics & Gynaecology, 54:12-30. [DOI:10.1016/j.bpobgyn.2018.06.006]
13. Siahkal SF, Iravani M, Mohaghegh Z, (2021) Investigating the association of the dimensions of genital hiatus and levator hiatus with pelvic organ prolapse: a systematic review. International Urogynecology Journal, 2021: 1-15. [DOI:10.1007/s00192-020-04639-0]
14. Woodfield CA, Krishnamoorthy S, Hampton BS, Brody JM (2010) Imaging pelvic floor disorders: trend toward comprehensive MRI. American Journal of Roentgenology, 194(6): 1640-9. [DOI:10.2214/AJR.09.3670]
15. Olsen AL, Smith VJ, Bergstrom JO, (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstetrics & Gynecology, 89(4): 501-6. [DOI:10.1016/S0029-7844(97)00058-6]
16. Gutman RE, Ford DE, Quiroz LH, et al. (2008) Is there a pelvic organ prolapse threshold that predicts pelvic floor symptoms? American Journal of Obstetrics and Gynecology, 199(6): 683. e1-. e7. [DOI:10.1016/j.ajog.2008.07.028]
17. Cheung R, Lee J, Lee L, et al. (2017) Levator ani muscle avulsion is a risk factor for expulsion within 1 year of vaginal pessary placed for pelvic organ prolapse. Ultrasound in Obstetrics & Gynecology, 50(6): 776-80. [DOI:10.1002/uog.17407]
18. Dietz H, Haylen B, Broome J (2001) Ultrasound in the quantification of female pelvic organ prolapse. Ultrasound in Obstetrics and Gynecology: The Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology, 18(5): 511-4. [DOI:10.1046/j.0960-7692.2001.00494.x]
19. Shek K and Dietz HP (2016) Assessment of pelvic organ prolapse: a review. Ultrasound Obstet Gynecol, 48(6): 681-92. [DOI:10.1002/uog.15881]
20. Giarenis I and Robinson D (2014) Prevention and management of pelvic organ prolapse. F1000prime Reports, 2014: 6. [DOI:10.12703/P6-77]
21. Youssef A, Idris O, Dodaro M, (2020) Three-dimensional ultrasound assessment of pelvic floor: impact of theoretical and practical course on caregiver accuracy. Ultrasound in Obstetrics & Gynecology, 55(4): 554-6. [DOI:10.1002/uog.20863]
22. Whitehead WE and Bharucha AE (2010) Diagnosis and treatment of pelvic floor disorders: what's new and what to do. Gastroenterology, 138(4): 1231-5. e4. [DOI:10.1053/j.gastro.2010.02.036]
23. Maher C, Baessler K, Barber M, et al. (2019) Surgical management of pelvic organ prolapse. Climacteric, 22(3): 229-35. [DOI:10.1080/13697137.2018.1551348]
24. Paganotto M, Ciarlariello S, Bellussi F, et al. (2017) OP28. 10: The effect of Kristeller manoeuvre on postpartum pelvic organ prolapse: prospective case‐control study. World Congress on Ultrasound in Obstetrics & Gynecology, 50(1): 48-153. [DOI:10.1002/uog.17967]
25. Lone F, Sultan A, Stankiewicz A, Thakar R (2014) The value of pre-operative multicompartment pelvic floor ultrasonography: a 1-year prospective study. The British Journal of Radiology, 87(1040): 20140145. [DOI:10.1259/bjr.20140145]
26. Maher C, Feiner B, Baessler K, (2016) Surgery for women with anterior compartment prolapse. Cochrane Database of Systematic Reviews, 2016(11). [DOI:10.1002/14651858.CD004014.pub6]
27. Dietz HP (2013) Pelvic floor trauma in childbirth. Australian and New Zealand Journal of Obstetrics and Gynaecology, 53(3): 220-30. [DOI:10.1111/ajo.12059]
28. Sobhgol SS and Charandabee SMA (2008) Related factors of urge, stress, mixed urinary incontinence and overactive bladder in reproductive age womenin Tabriz, Iran: a cross-sectional study. International Urogynecology Journal, 19: 367-73. [DOI:10.1007/s00192-007-0437-2]
Add your comments about this article
Your username or Email:

CAPTCHA



XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Wang Z, Chen Y, Huang A. Clinical application of three-dimensional pelvic floor ultrasound in patients with pelvic organ prolapse and the application value of levator hiatus and levator ani indicators. Int J Radiat Res 2024; 22 (2) :473-479
URL: http://ijrr.com/article-1-5471-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 22, Issue 2 (4-2024) Back to browse issues page
International Journal of Radiation Research
Persian site map - English site map - Created in 0.05 seconds with 50 queries by YEKTAWEB 4660