Interobserver and intraobserver reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society pelvic organ prolapse classification system

Hall, André F.; Theofrastous, James P.; Cundiff, Geoffrey W.; Harris, Robert L.; Hamilton, Lauren; Swift, Steven; Bump, Richard C.

doi:10.1016/s0002-9378(96)70091-1

Cited by 313 publications

(146 citation statements)

References 2 publications

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“…bladder most descended edge of the bladder, rectum most anteriocaudal point of the anterior rectal wall, PCL pubococcygeal line, MPL mid-pubic line, US horizontal reference line on ultrasonography. Note: left top panel shows the difference of PCL bladder with US bladder vs. the average of these two in centimeters significant, although the interobserver reliability for POP-Q point C and TVL is only moderate (r s =0.52 and 0.49, respectively), as well as the intra-observer reliability for TVL (r s =0.43) [16]. Reliability of MR imaging measurements in women with POP in relation to the reference lines used in this study were described as excellent to good by Fauconnier et al and Broekhuis et al [7,17].…”

Section: Discussionmentioning

confidence: 99%

POP-Q, dynamic MR imaging, and perineal ultrasonography: do they agree in the quantification of female pelvic organ prolapse?

et al. 2009

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Introduction and hypothesis This study evaluates the agreement in prolapse staging between clinical examination, dynamic magnetic resonance (MR), imaging and perineal ultrasonography. Methods Anatomical landmarks in the anterior, central, and posterior compartment were assessed in relation to three reference lines on dynamic MR imaging and one reference line on dynamic ultrasonography. These measurements were compared to the according POP-Q measurements. Agreement between the three methods was analyzed with Spearman's rank correlation coefficient (r s ) and Bland and Altman plots. Results Correlations were good to moderate in the anterior compartment (r s range=0.49; 0.70) and moderate to poor (r s range = −0.03; 0.49) in the central and posterior compartment. This finding was independent of the staging method and reference lines used. Conclusion Pelvic organ prolapse staging with the use of POP-Q, dynamic MR imaging, and perineal ultrasonography only correlates in the anterior compartment.

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Section: Discussionmentioning

confidence: 99%

POP-Q, dynamic MR imaging, and perineal ultrasonography: do they agree in the quantification of female pelvic organ prolapse?

et al. 2009

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“…[26][27][28][29] Demographic data and delivery data were collected from the women's electronic medical records and from an electronic questionnaire exploring additional background data. For the purpose of exploring whether route of delivery affected changes in pelvic organ support, the population was subdivided into a vaginal delivery group, including both normal and instrumental vaginal deliveries, and a caesarean delivery group, including both elective as well as acute caesarean deliveries.…”

Section: Methodsmentioning

confidence: 99%

Change in pelvic organ support during pregnancy and the first year postpartum: a longitudinal study

Reimers

Stær-Jensen

Siafarikas

et al. 2015

BJOG

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Summary Objective To describe changes in pelvic organ support from mid pregnancy until 1 year postpartum among nulliparous pregnant women, and to examine whether delivery route affects changes in pelvic organ support.Design Prospective cohort study. Setting Akershus University Hospital in Norway.Population A cohort of 300 nulliparous pregnant women included at mid-pregnancy.Methods Pelvic organ support assessed at 21 and 37 weeks of gestation, and again at 6 weeks, 6 months, and 12 months postpartum, by the use of the Pelvic Organ Prolapse Quantification (POP-Q) system. Linear mixed model was used to assess longitudinal change in pelvic organ support.Main outcome measures Prevalence of anatomic POP. Change in POP-Q variables over time and between delivery groups.Results The prevalence of anatomic POP ranged from 0 to 10%. Vaginal POP-Q points made a cranial shift from mid to late pregnancy, a caudal shift following delivery, and again a cranial shift after 6 weeks postpartum. Postpartum change was present following both vaginal and caesarean deliveries, but was more pronounced following vaginal delivery. The perineal body and genital hiatus became longer from mid to late pregnancy, and shortened after 6 weeks postpartum. At 12 months postpartum all POP-Q points, except cervix, had recovered to baseline in the vaginal delivery group.Conclusions The prevalence of anatomic POP was low in this cohort. There was change in pelvic organ support both during pregnancy and following vaginal as well as caesarean delivery. The short-term ability to recover was good after the first pregnancy and delivery.Keywords Delivery, pelvic organ support, POP, postpartum, pregnancy, primipara.Tweetable Abstract Pelvic organ support changes during pregnancy. A contribution to the risk of POP?

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“…2,5 Patients with non-puerperal uterine inversions, prolapsed fibroid polyps and those with complaints but with no demonstrable descent of any pelvic organ following pelvic examination were excluded from the study.…”

Section: Methodsmentioning

confidence: 99%

“…Any condition that increases pressure in the abdomen and affect the physical load on the pelvic floor or integrity of the muscular and connective tissues of the pelvis increases the likelihood that symptomatic prolapsed will develop. 5 A study of pelvic organ prolapse done in a rural community in southern Ghana shows a prevalence rate of 12.07% 6 however the exact burden of pelvic organ prolapses across the entire country is unknown. The prevalence of pelvic organ prolapse in northern and southern parts of Ghana particularly the urban areas are not expected to be same because of differences in occupational, socio-cultural factors, access and use of health facilities between the two parts of the country.…”

Section: Introductionmentioning

confidence: 99%

Social demographic characteristics of women with pelvic organ prolapse at the Tamale Teaching Hospital, Ghana

Gumanga¹,

Munkaila²,

Malechi³

2015

Ghana Medical Journal

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SUMMARYObjective: To determine the prevalence, social demographic characteristics and types of pelvic organ prolapse that patients present with at the Tamale Teaching Hospital (TTH). Methods: A descriptive study of pelvic organ prolapses at the Tamale Teaching Hospital from 1 st January 2010 to 31 st December 2011. Results: The 118 pelvic organ prolapse cases constituted (2.68%) of the 4403 gynaecological out-patient cases seen during the two year study period. The mean age and standard deviation was (45.9± 15.1) and the modal age group was 30-39 years with 32 (27.1%) of cases. There were 112 (94.9%) cases of uterine prolapse, 95 (80.5%) had cystocele, 16 (13.5%) patients had rectoceles and 3 (2.5%) had enterocele. Their main occupations were trading 66 (55.9%) and farming 44 (37.3%), seventy (62.5%) of the patients with uterine prolapse were premenopausal while (10) 14.3% of the premenopausal cases had an ongoing pregnancy. The parity ranged from zero to 13 with mean and standard deviation of (4.4±1.7). Fifty five (46.6%) were from the Tamale metropolis and only 12 (10.5%) had all their deliveries in hospital. The commonest complication was decubitus ulcer present in 20 (16.9%) patients, 16(80%) of it in patients with procedentia. Conclusion: Pelvic organ prolapse is not a rare gynaecological condition at the Tamale Teaching Hospital. The patients are relatively young and are from various districts in the northern region. Some occupational, socio-cultural practices and reproductive characteristics may be contributory to severity of pelvic organ prolapse.

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Interobserver and intraobserver reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society pelvic organ prolapse classification system

Cited by 313 publications

References 2 publications

POP-Q, dynamic MR imaging, and perineal ultrasonography: do they agree in the quantification of female pelvic organ prolapse?

POP-Q, dynamic MR imaging, and perineal ultrasonography: do they agree in the quantification of female pelvic organ prolapse?

Change in pelvic organ support during pregnancy and the first year postpartum: a longitudinal study

Social demographic characteristics of women with pelvic organ prolapse at the Tamale Teaching Hospital, Ghana

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