ArticleInternational urogynecology journal2014
Interrater reliability of assessing levator ani deficiency with 360° 3D endovaginal ultrasound.
Article in International urogynecology journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Episiotomy in vacuum extraction, do we cut the levator ani muscle? A prospective cohort study.International urogynecology journal · 2022Trial
- How Does Myofascial Physical Therapy Attenuate Pain in Chronic Pelvic Pain Syndrome?Pain research & management · 2019Trial
- Female pelvic floor protection-Where do we have to go?Acta obstetricia et gynecologica Scandinavica · 2026Review
- Role of Ultrasound in the Evaluation of Women with Obstetric Anal Sphincter Injuries: Narrative Review.International urogynecology journal · 2026Review
- Levator Ani Deficiency and Pelvic Floor Dysfunction 1 Year Postpartum: A Prospective Nested Case-Control Study.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- One-year follow-up after standardized perineal reconstruction in women with deficient perineum after vaginal delivery.Acta obstetricia et gynecologica Scandinavica · 2023Article
- Three-dimensional endovaginal ultrasound assessment using the levator ani deficiency score in primiparas: A replication study.Acta obstetricia et gynecologica Scandinavica · 2023Article
- Descent and hypermobility of the rectum in women with obstructed defecation symptoms.International urogynecology journal · 2020Article
- AIUM/IUGA practice parameter for the performance of Urogynecological ultrasound examinations : Developed in collaboration with the ACR, the AUGS, the AUA, and the SRU.International urogynecology journal · 2019Article
- Computer Application of Ultrasound and Nuclear Magnetic Resonance Images for the Anatomical Learning of the Pelvis and the Female Pelvic Floor.Journal of medical systems · 2019Article
- Imaging the pelvic floor.Techniques in coloproctology · 2017Article
- Characteristics associated with pelvic organ prolapse in women with significant levator ani muscle deficiency.International urogynecology journal · 2016Article
- Translabial three-dimensional ultrasound investigation of the levator hiatus in postpartum women.Journal of medical ultrasonics (2001) · 2015Article
- Is there a correlation between levator ani and urethral sphincter complex status on 3D ultrasonography?International urogynecology journal · 2015Article
- How well can levator ani muscle morphology on 3D pelvic floor ultrasound predict the levator ani muscle function?International urogynecology journal · 2015Article
- Statistical justifications for interrater reliability of levator ani deficiency (LAD) assessment by 3D endovaginal ultrasonography: response to critique.International urogynecology journal · 2014Article
- Interrater reliability of assessing levator ani deficiency with 360° 3D endovaginal ultrasound: mistake and misinterpretation in reliability analysis.International urogynecology journal · 2014Article
- New Measures for Predicting Birth-Related Pelvic Floor Trauma.Female pelvic medicine & reconstructive surgeryObservational
- Increasing Age Is a Risk Factor for Decreased Postpartum Pelvic Floor Strength.Female pelvic medicine & reconstructive surgeryArticle
Corrections and comments
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- Erratum issued
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisThree-dimensional endovaginal ultrasound has been used for evaluation of levator ani muscle deficiency. The aim of this study was to assess interrater agreement/reliability of 3D endovaginal ultrasound for scoring levator ani deficiency (LAD).
methodsThis was a cross-sectional study. Women referred to our urogynecology clinic for different pelvic floor dysfunction symptoms during November 2010-November 2012 were recruited. All patients underwent physical examination, including Pelvic Organ Prolapse Quantification (POP-Q) examination and high-resolution 3D endovaginal ultrasound. The levator muscle was divided into three subgroups based on our prior work: the puboperinealis/puboanalis (PA), puborectalis (PR), and iliococcygeus/pubococcygeus (PV). Subgroups were evaluated in their specific axial plane and were scored according to thickness and detachment from the pubic bone. Scoring was conducted by four raters blinded to case status and to one another's scores.
resultsNinety patients were recruited. The median age was 52 (range 24-86). Median body mass index (BMI) was 28.08 (range 17.08-51.39). Fifty percent of patients were menopausal. The range of exact agreement for total LAD score was 77-90 %. All the correlation coefficients at the individual sites as well as the overall scores were positive at above 0.63 and significant at <0.0001 level.
conclusionsOur study demonstrates excellent agreement between raters assessing levator ani muscle deficiency using 3D endovaginal ultrasound. This level of concordance supports the reliability of the 3D endovaginal ultrasound technique and scoring method among raters [corrected].
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.