Urethrocolpography

Marsovszky, P. J.; Nichols, David H.; Randall, Clyde L.

doi:10.1007/bf00673078

Cited by 6 publications

(2 citation statements)

References 12 publications

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“…Previous studies have reported radiographic examination of the pelvis in women with prolapse, especially women with stress urinary incontinence [11,15,16]. It has also been used to study the depth and axis of the normal vagina [17,18], as well as genital prolapse [19,20] and enterocele [21]. Bethoux [19] and Lazarevski [20] have both made extensive radiographic studies of genital prolapse, and have demonstrated the ease with which the pelvic organs can be visualized.…”

Section: Discussionmentioning

confidence: 99%

Vaginographic examination of the pelvic floor

DeLancey

1994

Int Urogynecol J

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In women with genital prolapse, damage to the pelvic floor muscles, fasciae, and ligaments leads to characteristic changes in the shape and position of the vagina. This observational study was undertaken to determine how these changes can be used to document damage to individual pelvic floor structures. Resting and straining radiographs in the standing position with barium in the vagina were made of 23 women with normal and 31 women with abnormal support, and correlated with anatomic studies of 23 cadavers. These studies demonstrate that the downward sagging of the upper vagina seen in frontal radiographs reflects a failure of the cardinal-uterosacral complex. Loss of the lateral indentations in the lower vagina indicates loss of the constricting effects of the levator ani. In lateral radiographs the levator plate's inclination can be measured. The distance between the pubic symphysis and anterior perineal body indicates ~the levator ani muscles' closure of the vagina. A line from the lower pubic symphysis to the ischial spine represents the location of the arcus tendineus fasciae pelvis. The distance between this line and the anterior vaginal wall indicates the status of the pubocervical fascia and its attachment to the arcus. With these observations, the vaginogram can be used to examine the status of the fascial and muscular supports of the vagina. It offers a research tool for the study of individual parts of the supportive system, and can be applied to such questions as the frequency of damage to muscles, fasciae or ligaments in recurrent prolapse.

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Section: Discussionmentioning

confidence: 99%

Vaginographic examination of the pelvic floor

DeLancey

1994

Int Urogynecol J

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“…Our past abilities to investigate these muscle groups have been crude indeed. We have tried such indirect and cumbersome techniques are taking X-rays of the pelvic floor after direct injection of radiographic medium into the levator plate [10] or coating the vagina with contrast material [15], estimating crude muscular force with a perineometer [16], and attempting to make wax molds of the vagina and pelvic floor [12]. Newer technologies such as magnetic resonance imaging are likely to give us a more accurate look at the pelvic floor, but the most exciting work has come from the application of modern electrophysiologic techniques to the muscles of pelvic support.…”

Section: Towards a Unified Pelvic Myologymentioning

confidence: 99%