Does it matter whether levator avulsion is diagnosed pre- or postoperatively?

2016 ◽  
Vol 48 (4) ◽  
pp. 516-519 ◽  
Author(s):  
S. S. Abdul Jalil ◽  
R. Guzman Rojas ◽  
H. P. Dietz
Keyword(s):  
Levator Avulsion

Association Between Urinary Stress Incontinence and Levator Avulsion Detected by 3D Transperineal Ultrasound

2021 ◽  
Author(s):  
Chunyan Zhong ◽  
Pan Hu ◽  
Suzhen Ran ◽  
Jing Tang ◽  
Chunmei Xiao ◽  
...  
Keyword(s):  
Stress Incontinence ◽  
Odds Ratio ◽  
Valsalva Maneuver ◽  
Urinary Stress Incontinence ◽  
Transperineal Ultrasound ◽  
Levator Hiatus ◽  
Levator Avulsion ◽  
Significant Difference ◽  
Standard Interview ◽  
Ultrasound Features

Abstract Purpose To determine the association between levator avulsion and urinary stress incontinence (USI) by 3/4D transperineal ultrasound. Materials and Methods 842 patients who were admitted to our hospital from 2016 to 2019 were recruited for our study. 3D/4D transperineal ultrasound was performed. After standard interview and clinical evaluation, general conditions and levator hiatus data were collected and measured to compare with each group. The odds ratio (OR) of USI symptoms or ultrasound features with levator avulsion were calculated. Results A total of 593 women were studied: 204 suffered from levator avulsion (96 cases of left-side avulsion, 80 cases of right-side avulsion and 28 cases of bilateral avulsion) and 389 women had no avulsion. The gravidity and episiotomy conditions of the avulsion groups were significantly different from the no-avulsion group. Significant differences were found in the transverse diameters and anteroposterior diameters between the levator avulsion group and the no-avulsion group, but there was no difference among the avulsion groups, regardless of whether the patient was at rest or performing the Valsalva maneuver. Interestingly, a significant difference was found in the presence of USI symptoms between the uni-avulsion group and the no-avulsion group. The odds ratio (OR) of USI symptoms in the uni-avulsion group is 2.786 (95 %CI, 1.663–4.669), but 0.939 (95 %CI, 0.276–3.199) for the bilateral avulsion and no-avulsion groups. Conclusion Unilateral levator avulsion may be a risk factor for urinary stress incontinence.

Levator Avulsion Is Associated With Pelvic Organ Prolapse 23 Years After the First Childbirth

2018 ◽  
Vol 37 (12) ◽  
pp. 2829-2839 ◽  
Author(s):  
Ixora Kamisan Atan ◽  
Sylvia Lin ◽  
Hans P. Dietz ◽  
Peter Herbison ◽  
Peter D. Wilson ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Levator Avulsion

Levator avulsion using a tomographic ultrasound and magnetic resonance-based model

2012 ◽  
Vol 206 (4) ◽  
pp. e7
Author(s):  
Kim W.M. Van Delft ◽  
Ranee Thakar ◽  
Abdul H. Sultan
Keyword(s):  
Magnetic Resonance ◽  
Levator Avulsion

Alteration of anal sphincter function in patients with levator avulsion: observational study

2015 ◽  
Vol 26 (7) ◽  
pp. 985-990 ◽  
Author(s):  
María Aubá Guedea ◽  
Juan Luis Alcázar Zambrano ◽  
Jorge Baixauli Fons ◽  
Leire Juez Viana ◽  
Begoña Olartecoechea Linaje ◽  
...  
Keyword(s):  
Observational Study ◽  
Anal Sphincter ◽  
Levator Avulsion ◽  
Sphincter Function ◽  
Anal Sphincter Function

scholarly journals EP36.02: New method for assessment of levator avulsion injury: a comparative elastography study

2019 ◽  
Vol 54 (S1) ◽  
pp. 455-455
Author(s):  
M. Falkenberg ◽  
K. Maßlo ◽  
M. Möllers ◽  
K. Oelmeier Murcia ◽  
R. Schmitz ◽  
...  
Keyword(s):  
New Method ◽  
Levator Avulsion ◽  
Avulsion Injury

scholarly journals P16.09: Obstetric risk factors for levator avulsion: a meta‐analysis and systematic review

2019 ◽  
Vol 54 (S1) ◽  
pp. 208-208
Author(s):  
N. Subramaniam ◽  
G. Eslick ◽  
K. Shek ◽  
H. Dietz
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Meta Analysis ◽  
Levator Avulsion

The natural history of levator avulsion one year following childbirth: a prospective study

2014 ◽  
Vol 122 (9) ◽  
pp. 1266-1273 ◽  
Author(s):  
KWM van Delft ◽  
R Thakar ◽  
AH Sultan ◽  
J IntHout ◽  
KB Kluivers
Keyword(s):  
Natural History ◽  
Prospective Study ◽  
Levator Avulsion ◽  
History Of ◽  
One Year ◽  
A Prospective Study

scholarly journals Diagnosis of levator avulsion injury: a comparison of three methods

2012 ◽  
Vol 40 (6) ◽  
pp. 693-698 ◽  
Author(s):  
H. P. Dietz ◽  
F. Moegni ◽  
K. L. Shek
Keyword(s):  
Levator Avulsion ◽  
Avulsion Injury

Levator avulsion using a tomographic ultrasound and magnetic resonance–based model

2011 ◽  
Vol 205 (3) ◽  
pp. 232.e1-232.e8 ◽  
Author(s):  
Rong R. Zhuang ◽  
Yan F. Song ◽  
Zi Q. Chen ◽  
Ming Ma ◽  
Hui J. Huang ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Levator Avulsion
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