Format

Send to

Choose Destination
Int Urogynecol J. 2015 Dec;26(12):1777-81. doi: 10.1007/s00192-015-2793-7. Epub 2015 Aug 7.

The association between different measures of pelvic floor muscle function and female pelvic organ prolapse.

Author information

1
Department of Gynecology, Oslo University Hospital, Ulleval, Pb 4956, Nydalen, Oslo, Norway. sisseloversand@gmail.com.
2
Institute of Clinical Medicine, University of Oslo, Oslo, Norway. sisseloversand@gmail.com.
3
Department of Obstetrics and Gynecology, Sydney Medical School Nepean, University of Sydney, Penrith, Australia.
4
University of Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
5
University of Western Sydney, Liverpool, Sydney, Australia.

Abstract

INTRODUCTION AND HYPOTHESIS:

We aimed to compare palpatory and translabial ultrasound (TLUS) measurements of pelvic floor muscle (PFM) function with symptoms and signs of female pelvic organ prolapse (FPOP) to determine a possible association.

METHODS:

We analysed data from 726 women with a mean age of 56 (SD 13.7, range 18-88) years, seen for symptoms of pelvic floor dysfunction between August 2011 and April 2013. The examination included a standardised interview and clinical assessment of FPOP with Pelvic Organ Prolapse Quantification (POP-Q) measurements, Modified Oxford Scale (MOS) grading and 4D TLUS.

RESULTS:

Symptoms of prolapse were reported in 51.4% (373 out of 726) with a mean bother score of 5.8 (SD 2.91, range 0-10). A clinically significant POP (Incontinence Society [ICS]-POP-Q stage ≥ 2) in any compartment was diagnosed in 77.1%. Mean MOS was 2.4 (SD 1.1, range 0-5). Significant POP on TLUS was seen in 54.6% (389 out of 712). TLUS volumes at rest and on maximal PFM contraction were analysed on a desktop PC, to assess the degree of bladder neck (BN) cranioventral shift and levator antero-posterior (AP) diameter reduction, blinded against other data. Mean cranioventral BN shift was 7.11 (SD 4.36, range 0.32-25.32) mm and mean levator AP diameter reduction was 8.6 (SD 4.8, range 0.3-31.3) mm. MOS was strongly associated with subjective and objective POP (P ≤ 0.001), whereas this was not true for TLUS measurements of tissue displacement.

CONCLUSION:

The MOS seems to be a more valid measure of PFM function than sonographically determined BN displacement or reduction of hiatal AP diameter observed on PFM contraction.

KEYWORDS:

Pelvic floor muscle function; Pelvic organ prolapse; Translabial ultrasound

PMID:
26249237
DOI:
10.1007/s00192-015-2793-7
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center