Utility of anterior vaginal wall length measurement in vaginal reconstructive surgery
| Autor: | Amy F Collins, Gunhilde M. Buchsbaum, Paula J. Doyle, Smitha Vilasagar |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Sacrum medicine.medical_specialty Reconstructive surgery Urology 030232 urology & nephrology Severity of Illness Index Vaginal wall Pelvic Organ Prolapse Body Mass Index Urogynecology 03 medical and health sciences 0302 clinical medicine Ischium Pregnancy parasitic diseases medicine.ligament Humans Medicine Body Weights and Measures Stage (cooking) Cervix Aged Retrospective Studies Aged 80 and over Ligaments 030219 obstetrics & reproductive medicine business.industry Medical record Age Factors Sacrospinous ligament Obstetrics and Gynecology Middle Aged Plastic Surgery Procedures Surgery Parity Treatment Outcome medicine.anatomical_structure Multivariate Analysis Vagina Linear Models Female business Body mass index |
| Zdroj: | International Urogynecology Journal. 28:1197-1200 |
| ISSN: | 1433-3023 0937-3462 |
| DOI: | 10.1007/s00192-016-3247-6 |
| Popis: | The pelvic organ prolapse quantification system (POP-Q) is the most commonly used method to quantify the extent of pelvic organ prolapse. However, it does not include assessment of anterior vaginal wall length (AVL). The objectives of this study were to characterize AVL and distance to the sacrospinous ligament (SSL), and to examine associations between total vaginal length (TVL), AVL, body mass index (BMI) and age. This was a retrospective chart review of 139 patients with cervix in situ presenting during an 8-month period for initial evaluation to the University of Rochester Medical Center Urogynecology practice. AVL, TVL and distance to the SSL were measured in addition to POP-Q measurements. Age, height, BMI, presenting complaint and prolapse stage were obtained from medical records. Simple linear regression was used to assess the relationship between TVL and AVL. Multivariate regression was used to test independent variables. The mean ± SD TVL, AVL and distance to the SSL were 9.4 ± 1.2 cm, 7.4 ± 0.9 cm and 7.2 ± 0.9 cm, respectively. All three measurements approached a normal distribution. TVL decreased slightly with age. No association was found between vaginal length and BMI or parity. AVL is a useful measurement that may aid in surgical decision-making. Providers should consider using AVL when planning sacrospinous hysteropexy. |
| Databáze: | OpenAIRE |
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