Defining Cervical Elongation: A Prospective Observational Study

Nosti, Patrick A.; Gutman, Robert E.; Iglesia, Cheryl B.; Park, Amy J.; Tefera, Eshetu; Sokol, Andrew I.

doi:10.1016/j.jogc.2016.10.012

Cited by 14 publications

(10 citation statements)

References 8 publications

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“…Finamore et al [14] compared the ECL with the length of actual postoperative pathology specimens in 39 patients and found significant differences (mean ECL 5.6 cm AE 2.91 vs. mean specimen cervical length 3.2 cm AE 0.99). Nosti et al [15] measured the cervical length in 90 patients with POP and found that the mean ECL and the mean length of pathology specimens were 4.8 cm AE 3.5 and 3.8 cm AE 1.2, respectively. Williams et al [3] investigated the cervical length in 202 patients with POP and suggested that 56.93 % of the ECLs were within AE2 cm of the postoperative gross specimen cervical length, 36.14 % were within AE1 cm, and the consistency between the ECL and postoperative specimen cervical length decreased with increasing prolapse stage.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…The prolapse that developed during the pregnancy usually happened on the third trimester, and the its management is resting in a Trendelenburg position. 12,13 The risk factor of the pelvis prolapse is multifactorial. The congenital and predisposition factors support each other.14 The congenital factor, including the base of the congenital pelvis such as collagen defect (e.g., Marfan syndrome, Ehlers-Danlos syndrome), abnormal pelvis structure, a big uterus size, or ovarium mass that causes an enhancement of the intraabdomen pressure.…”

Section: Discussionmentioning

confidence: 99%

Kehamilan Pasca Tindakan Manchester Fothergill

Ertandri¹,

Ermawati²

2020

AOJ

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Pregnancy after a manchester fothergill action is rare, occurring 1-10,000 post-action. postmanchester fothergill pregnancy can cause premature labor, spontaneous abortion, fetal death, maternal urinary complaints, and sepsis. Case of a 34-year-old female patient, G3P1A1L1 37-38 weeks of term parturient latent phase of first stage + once previous cesarean section + history of manchester fothergill. Previous history of childbirth the patient gave birth through cesarean section and term, the birth weight of children 3200 gr. The second pregnancy the patient suffered a miscarriage at 13-14 weeks gestation and found cervical elongation, then the patient was performed cervical reconstruction with the manchester fothergill procedure after the patient received his normal menstrual cycle. after 2 years later the patient came pregnant with a gestational age of 9 months with complaints of low back pain in the placenta. The conclusion of this case of pregnancy after the manchester fothergill action is a rare condition. pelvic organ prolapse and cervical elongation in pregnancy are conditions to be aware of, therefore early diagnosis is very important for smooth pregnancy. individual approach depends on gestational age, the severity of the prolapse is a matter that must be considered for the choice of delivery. prevention of complications can determine the success of a pregnancy. it must also be concluded that prolapse is not a disease of the elderly.

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“…The corpus/cervix ratio (CCR) was calculated. Several criteria have been proposed to define cervical elongation [12][13][14][15][16]. Our definition of cervical elongation adopted by the study of A.R.…”

Section: Methodsmentioning

confidence: 99%

Clinical Risk Factors for Uterine Cervical Elongation among Women with Pelvic Organ Prolapse

Liu

Wang

Loo

et al. 2021

IJERPH

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Background: Cervical elongation is commonly associated with pelvic organ prolapse (POP). It was an identified risk for recurrent prolapse after hysteropexy, requiring additional surgeries. The aim of the study is to investigate the risk factors for uterine cervical elongation among women with POP. Methods: In this single-center retrospective cohort study, women who underwent vaginal total hysterectomy for POP between 2014 and 2016 were collected. The cervical and total uterine lengths were measured by pathologists, while the ratio of cervical length to total uterine length were calculated. The cervical elongation is defined as corpus/cervix ratio ≤ 1.5. Results: A total of 133 patients were enrolled in this study. Among these patients, 43 women had cervical elongation and 90 women had normal length of uterine cervix. We found that age > 65 years old (67.4% vs. 42.2%, p = 0.007), total vaginal length ≥ 9.5 cm (65.1% vs. 45.6%, p = 0.035), uterine weight < 51 gm (72.1% vs. 52.2%, p = 0.03), and Pelvic Organ Prolapse Distress Inventory 6 (POPDI-6) ≥ 12 (30.2% vs. 14.4%, p = 0.032) were associated with the risk of cervical elongation. There were no significant differences on preoperative urodynamic parameters in the two groups. Conclusion: The patient age > 65 years old, the total vaginal length of POP-Q system ≥ 9.5 cm, uterine weight < 51 g, and POPDI-6 ≥ 12 are independent risk factors of cervical elongation in women with POP. For women scheduled for pelvic reconstructive hysteropexy, concomitant cervical amputation should be considered.

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Defining Cervical Elongation: A Prospective Observational Study

Cited by 14 publications

References 8 publications

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

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

Kehamilan Pasca Tindakan Manchester Fothergill

Clinical Risk Factors for Uterine Cervical Elongation among Women with Pelvic Organ Prolapse

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