How to use the Pelvic Organ Prolapse Quantification (POP‐Q) system?

Madhu, Chendrimada; Swift, Steven; Moloney-Geany, Sophie; Drake, Marcus

doi:10.1002/nau.23740

Cited by 91 publications

(66 citation statements)

References 22 publications

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“…Before surgery, all patients underwent pelvic and renal ultrasound and urodynamic examination. Prolapse examination using the POP‐Q was performed by the operating surgeon with no blinding at baseline, 6 weeks, and 6 and 12 months. A renal ultrasound was repeated at 6 weeks postoperatively in order to detect ureteral complications.…”

Section: Methodsmentioning

confidence: 99%

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Clinical evaluation of the Uphold LITE mesh for the surgical treatment of anterior and apical prolapse: A prospective, multicentre trial

Allegre

Debodinance²,

Dematteï

et al. 2019

Neurourology and Urodynamics

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Aims To evaluate the safety and efficacy of the Uphold LITE mesh in the treatment of pelvic organ prolapse at 12‐month follow‐up. Methods Women undergoing a mesh surgery due to an anterior prolapse plus a symptomatic anterior prolapse (classed as pelvic organ prolapse quantification stage ≥2) were included in this prospective, multicentre, observational study. The primary endpoint was a composite outcome including a good anatomical correction, no prolapse symptoms, and no reintervention for an anterior or apical recurrent prolapse within 12 months of surgery. Secondary outcomes included safety, improvements in quality of life (QoL), and risk factor for recurrence. This study was registered with ClinicalTrials.gov, number NCT01559168. Results A total of 121 patients were included. Symptomatic and anatomic cure rates were 94% (95 of 101) and 76.8% (76 of 99), respectively. The composite success rate was 72.4% (71 of 98). The rate of reoperation for apical or anterior recurrent prolapse was 3.9% (4 of 103). Anatomical anterior or apical recurrence occurred in 18.2% (18 of 97) and 7.2% (7 of 97) of patients, respectively. The composite success rate was significantly higher in centres where more than 30 patients had been treated (80% vs 50%; P = .045). The rate of serious complication was 5.4% (6 of 111). Improvements were recorded in QoL including sexual function. Conclusions The Uphold LITE mesh procedure provides satisfactory outcomes in the treatment of anterior and apical prolapse, particularly in high‐volume centres. The rates of adverse effects and reintervention for recurrent prolapse were acceptable.

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Section: Methodsmentioning

confidence: 99%

“…inclusions) and six centres performed less than 30 inclusions (mean [SD] 6.7 [4.1] inclusions). The composite success rate was significantly higher in centres with the higher volume of Pelvic organ prolapse quantification evaluation at inclusion and 12 months after surgery10 …”

mentioning

confidence: 87%

Clinical evaluation of the Uphold LITE mesh for the surgical treatment of anterior and apical prolapse: A prospective, multicentre trial

Allegre

Debodinance²,

Dematteï

et al. 2019

Neurourology and Urodynamics

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“…Our study investigated the factors influencing the difference between the ECL and the MCL. Previous studies have shown good consistency in POP-Q estimations among observers [16][17][18]. In this study, all examinations were performed by the same urogynaecologist.…”

Section: Discussionmentioning

confidence: 88%

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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“…Prolapse assessment using the POP‐Q confirmed a significant posterior compartment bulge (Ap: −2, Bp: 0). Magnetic resonance defecography reported mild vaginal prolapse (1.7 cm), a moderate cystocele (3.2 cm), a moderate enterocele (5.7 cm), and a moderate rectocele with distal bulge (1.2 cm) along the posterior vaginal wall.…”

Section: Case Presentationmentioning

confidence: 96%

Vaginal cuff perforation during robotic‐assisted mesh recto‐sacrocolpopexy

2020

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Introduction We report on the management of intraoperative vaginal cuff perforation during robotic‐assisted mesh recto‐sacrocolpopexy for vaginal vault prolapse with defecatory dysfunction. Case presentation A 75‐year‐old woman with vaginal bulge and constipation was to undergo a joint robotic mesh recto‐sacrocolpopexy. Intraoperatively, mesh was secured to the left posterior vaginal wall following dissection. Prior to contralateral suture placement, the vaginal cuff split open and exposed an end‐to‐end anastomotic sizer previously inserted in the vagina. Due to subsequent mesh erosion risk, we proceeded with vaginotomy closure with running and interrupted absorbable sutures, removal of mesh, direct suture rectopexy to the promontory, and enterocele defect correction by reapproximating the right and left wings of the peritoneum flaps over the rectum with running sutures. Patient reported satisfactory outcomes after 2 years. Conclusion We reviewed our experience with vaginal cuff perforation during robotic‐assisted mesh recto‐sacrocolpopexy prompting enterocele repair and rectopexy without mesh.

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How to use the Pelvic Organ Prolapse Quantification (POP‐Q) system?

Cited by 91 publications

References 22 publications

Clinical evaluation of the Uphold LITE mesh for the surgical treatment of anterior and apical prolapse: A prospective, multicentre trial

Clinical evaluation of the Uphold LITE mesh for the surgical treatment of anterior and apical prolapse: A prospective, multicentre trial

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

Vaginal cuff perforation during robotic‐assisted mesh recto‐sacrocolpopexy

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