Comparison of the POP-Q examination, transvaginal ultrasound, and direct anatomic measurement of cervical length

Dancz, Christina E.; Werth, Lisa; Sun, Vanessa; Lee, Sandy; Walker, Daphne K.; Özel, Begüm

doi:10.1007/s00192-013-2255-z

Cited by 19 publications

(14 citation statements)

References 14 publications

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“…119). 15 These results are similar to those revealed at 5.51 cm (3.84 cm ± 0.786 n = 20) 16 also by 5.18 cm (3.2 cm ± 0.99 n = 39) . 17 Different results were obtained in took the benchmark for cervical elongation 3.38 cm, 5 cm and diagnosed cervical elongation clinically 8 cm.…”

supporting

confidence: 87%

“…POP-Q examination correlated well with anatomic measurements (r = 0.3, p = 0.005), whereas transvaginal ultrasound examination was less correlated with anatomical measurements (r = 0.19, p = 0.14). 15 The correlation between cervical length examination on the apical component of POP-Q examination and MRI examination found a good correlation (r = 0.41-0.59, p <0.0001). 5 Until now there have been no studies that examine sensitivity, specifi city and accuracy POP-Q examination in measuring cervical length to diagnose cervical elongation in pelvic organ 53 Priyatini,Fernando,Widyakusuma,et al Indones J Obstet Gynecol…”

mentioning

confidence: 86%

“…Previous research was limited to the conformity test between the length of the cervix measured using POP-Q, US, MRI and hysterectomy specimen. 5,15 In this study, there were 33 POP patients with cervical elongation and 33 POP patients without cervical elongation. The results of the 2 x 2 table analysis revealed that POPQ examination had good specifi city (79%) to diagnose cervical elongation in pelvic organ prolapse patients but with poor sensitivity (58%) and 68% accuracy.…”

Section: Pelvic Organ Prolapse Quantifi Cation Accuracy For Elongasiomentioning

confidence: 98%

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Pelvic Organ Prolapse Quantifi cation Accuracy for Elongasio Cervix Diagnose in Pelvic Organ Prolapse Patients

Priyatini

Fernando

Widyakusuma³

et al. 2020

Indones J Obstet Gynecol

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Abstract Objective: To know sensitivity, specificity and accuracy of Pelvic Organ Prolapse Quantification (POP-Q) to measure cervical length for cervical elongation diagnose in Pelvic Organ Prolapse (POP) patients with gold standard was the anatomical cervical length from hysterectomy result. Methods: Diagnosis research, cross-sectional, consecutive sampling. POP-Q was taken before the operation and the anatomical cervical length was from hysterectomy result Results: Sixty six subject, 1.5% 2nd stage POP, 45.5% 3rd stage POP, and 53.0 % 4th stage POP. Mean (± sd) age and body mass index consecutively59.88 years (± 9.347) and 24.41 (± 3.67) kg/m2. Median (min-max) cervical length POP-Q and anatomy consecutively 4 cm (1-12) and 5 cm (3-10). Sensitivity, Specificity dan Accuracy POP-Q consecutively 79%, 58% dan 68% Conclusion: POP-Q has good specificity (79%) but with less sensitivity (58%) with accuracy 68% to diagnose cervical elongation in POP Keywords: accuracy, cervical elongation, cervical length, pelvic organ prolapse, pelvic organ prolapse quantification (POP-Q), sensitivity, specificity. Abstrak Tujuan: Untuk mengetahui nilai sensitivitas, spesifisitas dan akurasi Pelvic Organ Prolapse Quantification (POP-Q) untuk menilai panjang serviks sebagai diagnosis elongasio serviks pada pasien POP dengan baku emas pengukuran anatomi serviks dari hasil histerektomi. Metode: Uji diagnosis, potong lintang, consecutive sampling. Data diambil dari pemeriksaan POP-Q dan pengukuran anatomi serviks dari hasil histerektomi. Hasil : Enam puluh enam subjek, 1,5% POP derajat 2, 45,5% POP derajat 3 dan 53,0 % POP derajat 4. Rerata(± sb)usia dan Indeks Massa Tubuh (IMT) berturut – turut 59,88 tahun (± 9,347) dan 24,41 (± 3,67) kg/m2. Median (min-maks) panjang serviks POP-Q dan anatomi berturut – turut 4 cm (1-12) dan 5 cm (3-10). Sensitivitas, spesifisitas, dan akurasi POP-Q berturut – turut 79%, 58% dan 68% Kesimpulan : Pemeriksaan POP-Q memiliki spesifitas yang baik (79%) tetapi dengan sensitivitas yang kurang baik (58%) dan akurasi 68% untuk diagnosis elongasio serviks pada prolaps organ panggul. Kata kunci: akurasi, elongasio serviks, panjang serviks, prolaps organ panggul, pelvic organ prolapse quantification (POP-Q), sensitivitas, spesifisitas

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supporting

confidence: 87%

mentioning

confidence: 86%

Section: Pelvic Organ Prolapse Quantifi Cation Accuracy For Elongasiomentioning

confidence: 98%

See 1 more Smart Citation

Pelvic Organ Prolapse Quantifi cation Accuracy for Elongasio Cervix Diagnose in Pelvic Organ Prolapse Patients

Priyatini

Fernando

Widyakusuma³

et al. 2020

Indones J Obstet Gynecol

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“…Of note, cervical elongation, defined as lengthening of the cervix independent of prolapse, can confound the diagnosis of apical prolapse. There exists no current consensus definition of cervical elongation, however various studies describe the length of an elongated cervix as ranging from 5 to 8 cm on POP‐Q measurement between points C and D (Finamore et al, ; Dancz et al, ).…”

Section: Uterus and Cervixmentioning

confidence: 99%

Physical examination of the female internal and external genitalia with and without pelvic organ prolapse: A review

2014

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Pelvic organ prolapse, a herniation of pelvic organs through the vagina, is a common condition in older women. Pelvic organ prolapse distorts vaginal anatomy making pelvic examination difficult. A clinician must accurately identify anatomic landmarks both in women presenting with symptoms of prolapse and in women noted to have coincidental prolapse during routine gynecologic examination. We present a systematic approach to the female pelvic examination including anatomic landmarks of the external genitalia, vagina, and uterus in women with normal support as well as changes that occur with pelvic organ prolapse. Knowledge and awareness of normal anatomic landmarks will improve a clinician's ability to identify defects in pelvic support and allow for better diagnosis and treatment of pelvic organ prolapse.

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“…Although ultrasound has been reported to have good reliability in measuring the cervical length in the obstetric literature, it is used to predict the risk of preterm birth [4,5]. Dancz et al [6] measured the cervical length in patients with POP using ultrasonography and found a poor correlation with the gross specimen cervical length; additionally, the interobserver reliability of the ultrasonography measurements was poor compared with that of specimen measurements and ECL. This may be because the lower uterine segment of a non-pregnant woman is not well formed and ultrasonography cannot show a clear boundary with the internal os.…”

Section: Introductionmentioning

confidence: 99%

Comparison of cervical length measured by POP-Q C-D and MRI: Why is POP-Q C-D not accurate?

Tang

Liao

Jiang

et al. 2020

European Journal of Obstetrics & Gynecology and Reproductiv

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Comparison of the POP-Q examination, transvaginal ultrasound, and direct anatomic measurement of cervical length

Abstract: The POP-Q examination estimate of CL correlates fairly with aCL at the time of hysterectomy; uCL does not appear to correlate with aCL or eCL. Cervical elongation may be defined as an anatomic length of 5.0 cm or a POP-Q estimate of 8.0 cm.

Cited by 19 publications

References 14 publications

Pelvic Organ Prolapse Quantifi cation Accuracy for Elongasio Cervix Diagnose in Pelvic Organ Prolapse Patients

Pelvic Organ Prolapse Quantifi cation Accuracy for Elongasio Cervix Diagnose in Pelvic Organ Prolapse Patients

Physical examination of the female internal and external genitalia with and without pelvic organ prolapse: A review

Comparison of cervical length measured by POP-Q C-D and MRI: Why is POP-Q C-D not accurate?

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