Identification of Surgical Uterine Prolapse in Premenopausal Patients With Clinical or Ultrasound Criteria? A Multicenter Comparative Study.

Autor: García-Mejido JA; Department of Obstetrics and Gynecology, Valme University Hospital, Seville, Spain.; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Seville, Seville, Spain., Martín-Martinez A; Department of Obstetrics and Gynecology, Complejo Asistencial Universitario de Gran Canarias, Gran Canarias, Spain., González-Diaz E; Department of Obstetrics and Gynecology, Complejo Asistencial Universitario de Leon (CAULE), León, Spain., Núñez-Matas MJ; Department of Obstetrics and Gynecology, University Hospital Virgen de la Victoria of Malaga, Malaga, Spain., Fernández-Palacín A; Biostatistics Unit, Department of Preventive Medicine and Public Health, University of Seville, Seville, Spain., Carballo-Rastrilla S; Department of Obstetrics and Gynecology, Complejo Asistencial Universitario de Gran Canarias, Gran Canarias, Spain., Fernández-Fernández C; Department of Obstetrics and Gynecology, Complejo Asistencial Universitario de Leon (CAULE), León, Spain., Sainz-Bueno JA; Department of Obstetrics and Gynecology, Valme University Hospital, Seville, Spain.; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Seville, Seville, Spain.
Jazyk: angličtina
Zdroj: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine [J Ultrasound Med] 2023 Oct; Vol. 42 (10), pp. 2269-2275. Date of Electronic Publication: 2023 May 10.
DOI: 10.1002/jum.16248
Abstrakt: Objectives: It is unknown whether diagnosing uterine prolapse (UP) via ultrasound or surgical criteria is superior. Our objective is to determine whether the diagnostic capacity of ultrasound with surgical criteria differs from that of surgical criteria only.
Methods: This was a multicenter prospective observational study with 54 premenopausal patients with surgical criteria for a dysfunctional pelvic floor pathology who were consecutively recruited for 1 year. Clinical UP with surgical criteria was defined when UP stage II-IV was identified (during pelvic floor consultation), and UP diagnosed by ultrasound with surgical criteria was established when a difference ≥15 mm was found between rest and Valsalva applied to the pubis-uterine fundus. The sensitivity, specificity and positive and negative predictive values were determined to evaluate clinical and ultrasound methodologies as diagnostic tests.
Results: UP diagnosed by ultrasound with surgical criteria presented better sensitivity (78.57 vs 35.71%), specificity (92.11 vs 81.58%), positive predictive value (61.83 vs 23.99%), and negative predictive value (96.35 vs 11.37%) than UP diagnosed by surgical criteria only.
Conclusion: Ultrasound with surgical criteria is superior to surgical criteria alone when diagnosing UP.
(© 2023 The Authors. Journal of Ultrasound in Medicine published by Wiley Periodicals LLC on behalf of American Institute of Ultrasound in Medicine.)
Databáze: MEDLINE
Externí odkaz: