scholarly journals Levator co-activation is a significant confounder of pelvic organ descent on Valsalva maneuver

2007 ◽  
Vol 30 (3) ◽  
pp. 346-350 ◽  
Author(s):  
A. K. Örnö ◽  
H. P. Dietz
Keyword(s):  
Valsalva Maneuver ◽  
Pelvic Organ ◽  
Co Activation ◽  
Pelvic Organ Descent

scholarly journals Outcome Assessment of the Marshall Coughing Test during Cervix Reposition Maneuver in Women with Urinary Stress Incontinence with/without Genital Prolapse

ISRN Urology ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-8
Author(s):  
Vesna Antovska
Keyword(s):  
Outcome Assessment ◽  
Stress Incontinence ◽  
Valsalva Maneuver ◽  
Genital Prolapse ◽  
Pelvic Organ ◽  
Urinary Stress Incontinence ◽  
Vaginal Wall ◽  
Stage I ◽  
Stage Ii ◽  
Great Chance

Objectives. Outcome assessment of the Marshall coughing test (MT) during cervix reposition maneuver (CRM) in women with urinary stress incontinence (USI) with/without genital prolapse (GP). Study Design. 268 patients, divided into USIg () with isolated USI and USIGPg () with USI and GP stage I/II, additionally divided into USIGP(A) () with USI and GP stage I and USIGP(B) () with USI and GP stage II, were evaluated with pelvic organ prolapse quantification (POPQ), MT, and CRM. Results. (a) 7.58% had (+) MT with CRM in USIg; (b) in up to 96.15% MT became negative during CRM in USIGP(A); (c) in 51.72% MT became positive only during CRM, as a sign for occult USI in USIGP(B); (d) point Aa (POPQ), which is bladder neck(BN) projection on the anterior vaginal wall, was situated higher in rest position (RP), but moved lower during the Valsalva maneuver (VM) in USIg versus USIGPg (). Conclusion. CRM could be useful arm in selection of (1) patients with isolated USI and great chance for postoperative failure; (2) patients with USI+GP stage I, who need GP repair during antistress surgery; (3) patients with USI + GP stage II, who need antistress procedure during vaginal hysterectomy.

scholarly journals A New Angle Measurement in Translabial Ultrasound as an Adjunct for the Diagnosis of Pelvic Organ Prolapse

Diagnostics ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 98
Author(s):  
Gina Nam ◽  
Jae-Yen Song ◽  
Sa-Ra Lee
Keyword(s):  
Pelvic Organ Prolapse ◽  
Valsalva Maneuver ◽  
Pelvic Organ ◽  
Angle Measurement ◽  
Symphysis Pubis ◽  
Clinical Staging ◽  
Translabial Ultrasound ◽  
Inferior Margin ◽  
The Difference ◽  
Spearman’S Correlation

The aim of this study was to compare the data obtained by a pelvic organ prolapse quantification (POP-Q) examination with the translabial ultrasound (TLUS) quantification of prolapse, using a new method of angle measurement. We analyzed the TLUS and POP-Q exam findings of 452 patients with symptoms of POP. The POP-Q system was used for clinical staging. TLUS was performed both at rest, and during the Valsalva maneuver after proper preparation. A horizontal reference line was drawn through the inferior margin of the symphysis pubis and the levator plate connected to the rectal ampulla, and the difference was calculated between the rest and the Valsalva maneuver. The Spearman’s correlation coefficient of agreement between the TLUS and the clinical POP-Q staging was used for statistical analysis. There was a weak degree of correlation between the POP-Q findings for the Ap parameter and our new angle measurement (rho = 0.17, p < 0.001). Thus, POP staging in conjunction with TLUS with this new angle measurement shows better agreement for the diagnosis of POP than POP-Q staging alone.

Median TiMESH colporrhaphy with transobturator ligature fixation of the vaginal cuff as a method of surgical treatment for post-hysterectomy pelvic hernia

2021 ◽  
Vol 20 (5) ◽  
pp. 136-140
Author(s):  
A.I. Ishchenko ◽  
◽  
A.A. Ishchenko ◽  
I.D. Khokhlova ◽  
T.A. Dzhibladze ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Valsalva Maneuver ◽  
Disease Recurrence ◽  
Pelvic Organ ◽  
Titanium Implants ◽  
Vaginal Cuff ◽  
Gynecological Examination ◽  
Operation Duration

The analysis of clinical observation of 4 patients aged 68–78 years with post-hysterectomy pelvic hernia who were operated with the use of titanium implants and transobturator ligature fixation of the vaginal cuff according to the original technique is presented. Dynamic follow-up for 3–12 months after surgery showed the absence of pelvic organ prolapse during gynecological examination, Valsalva maneuver, and transperineal ultrasound. The questionnaire survey of patients showed their satisfaction with the results of surgery and improvement of their quality of life. Conclusion. Median TiMESH colporrhaphy with transobturator ligature fixation of the vaginal cuff in patients of elderly and senile age with post-hysterectomy pelvic hernia when slightly prolonging the operation duration contributes to strengthening and firm consolidation of the vaginal walls, elevation of the vaginal cuff and adjacent organs, improving the condition of the surgical scar and, therefore, improving patients’ quality of life and preventing disease recurrence. Key words: post-hysterectomy pelvic hernia, median TiMESH colporrhaphy, transobturator ligature fixation of the vaginal cluff

Pelvic organ descent in young nulligravid women

2004 ◽  
Vol 191 (1) ◽  
pp. 95-99 ◽  
Author(s):  
H.P Dietz ◽  
A Eldridge ◽  
M Grace ◽  
B Clarke
Keyword(s):  
Pelvic Organ ◽  
Pelvic Organ Descent

scholarly journals Comparison between the Valsalva maneuver and intraoperative traction measurements in pelvic organ prolapse assessment

2017 ◽  
Vol 139 (3) ◽  
pp. 358-362 ◽  
Author(s):  
Stergios K. Doumouchtsis ◽  
Nivedita Gauthaman ◽  
Azar Khunda ◽  
Maya Basu ◽  
Kiran Dadhwal ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Valsalva Maneuver ◽  
Pelvic Organ

Assessment of pelvic organ descent by use of functional cine-MRI: Which reference line should be used?

2003 ◽  
Vol 23 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Andreas Lienemann ◽  
Dorothée Sprenger ◽  
Udo Janßen ◽  
Eva Grosch ◽  
Christoph Pellengahr ◽  
...  
Keyword(s):  
Pelvic Organ ◽  
Reference Line ◽  
Cine Mri ◽  
Pelvic Organ Descent

Oral Poster 24: Pelvic Organ Descent and the Perception of Prolapse

2004 ◽  
Vol 10 ◽  
pp. S23
Author(s):  
C Ghetti ◽  
W T. Gregory ◽  
S R. Edwards ◽  
A L. Clark
Keyword(s):  
Pelvic Organ ◽  
Pelvic Organ Descent
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