ArticleInternational urogynecology journal2014
What is clinically relevant prolapse? An attempt at defining cutoffs for the clinical assessment of pelvic organ descent.
Article in International urogynecology journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.
- Diagnostic value of pelvic floor ultrasonography for diagnosis of pelvic organ prolapse: a systematic review.International urogynecology journal · 2020Pooled it
- Lifestyle advice with or without pelvic floor muscle training for pelvic organ prolapse: a randomized controlled trial.International urogynecology journal · 2016Trial
- Pelvic Organ Prolapse with Concomitant Short Total Vaginal Length and Outcomes of Laparoscopic Mesh Sacrocolpopexy.International urogynecology journal · 2026Article
- [Deep learning models based on fused ultrasound images for the assessment of cystocele in women].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026Article
- Is There a Difference in Hiatal Area on Straining Between Type I and II Levator Avulsions?International urogynecology journal · 2026Observational
- Artificial Intelligence for the Automated Measurement of Hiatal Dimensions.International urogynecology journal · 2026Observational
- IUGA Opinion Paper on Obstructed Defecation: Management of Clinical and Proctographic Rectoceles.International urogynecology journal · 2026Review
- Measuring Pelvic Organ Prolapse: An Evolution.International urogynecology journal · 2024Review
- International urogynecological consultation chapter 4.1: definition of outcomes for pelvic organ prolapse surgery.International urogynecology journal · 2023Review
- Anatomic Criterion for Clinically Relevant Apical Prolapse in Urogynecology Populations.Urogynecology (Philadelphia, Pa.) · 2023Article
- Is urethral pressure associated with parity and delivery mode?International urogynecology journal · 2022Article
- The impact of levator ani muscle trauma and contraction on recurrence after prolapse surgery.International urogynecology journal · 2022Article
- Is vaginal laxity an early symptom of pelvic organ prolapse?International urogynecology journal · 2022Observational
- Predictive Model for the Diagnosis of Uterine Prolapse Based on Transperineal Ultrasound.Tomography (Ann Arbor, Mich.) · 2022Observational
- 2D ultrasound diagnosis of middle compartment prolapse: a multicenter study.Quantitative imaging in medicine and surgery · 2022Article
- Abdominal pressure and pelvic organ prolapse: is there an association?International urogynecology journal · 2022Article
- International Urogynecological Consultation: clinical definition of pelvic organ prolapse.International urogynecology journal · 2021Review
- Differential diagnosis of middle compartment pelvic organ prolapse with transperineal ultrasound.International urogynecology journal · 2021Observational
- Current use of the pelvic organ prolapse quantification system in clinical practice among Korean obstetrician-gynecologists.BMC women's health · 2021Article
- Is vaginal flatus related to pelvic floor functional anatomy?International urogynecology journal · 2020Observational
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisThis study was undertaken to investigate the relationship between symptoms of prolapse and International Continence Society Pelvic Organ Prolapse Quantification (ICS POP-Q) measurements in order to establish optimal cutoffs for predicting prolapse symptoms using receiver operator characteristic (ROC) statistics.
methodsThis was a retrospective study using 764 archived data sets of patients seen for symptoms of lower urinary tract and pelvic floor dysfunction between March 2011 and November 2012. Main outcome measure was symptoms of prolapse. Explanatory parameters were Ba, C, and Bp as defined by the ICS POP-Q. Patient age, body mass index (BMI), previous hysterectomy or incontinence/prolapse surgery, and vaginal parity were tested for a confounding effect on the relationship between ICS POP-Q measurements and symptoms of prolapse.
resultsOptimal cutoffs for predicting prolapse symptoms were defined as follows: Ba = -0.5 (sensitivity 69 %, specificity 71 %), C =-5 (sensitivity 67 %, specificity 64 %), Bp = -0.5 (sensitivity 63 %, specificity 62 %). ROC statistics resulted in an area under the curve of 0.768 for Ba [confidence interval (CI) 0.729-0.807), for C of 0.724 (CI 0.672-0.776), and for Bp of 0.686 (CI 0.639-0.733).
conclusionOur findings suggest that the ICS POP-Q staging system requires revision. Prolapse of the anterior and posterior vaginal wall of < -1 should probably be regarded as normal. On the other hand, stage 1 uterine prolapse as currently defined seems highly relevant.
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