ArticleInternational urogynecology journal2015
Perineorrhaphy quantitative assessment (Pe-QA).
Article in International urogynecology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 18 citations in OpenAlex.
- Article
- Hiatal failure: effects of pregnancy, delivery, and pelvic floor disorders on level III factors.International urogynecology journal · 2023Review
- Surgical anatomy of the vaginal introitus.Neurourology and urodynamics · 2022Review
- Joint report on terminology for surgical procedures to treat pelvic organ prolapse.International urogynecology journal · 2020Article
- Open sacrocolpopexy and vaginal apical repair: retrospective comparison of success and serious complications.International urogynecology journal · 2018Article
- Posterior vaginal compartment repairs: Where are the main anatomical defects?International urogynecology journal · 2016Article
- An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP).International urogynecology journal · 2016Article
- An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP).International urogynecology journal · 2016Article
- Pelvic Organ Prolapse Stage and the Relationship to Genital Hiatus and Perineal Body Measurements.Female pelvic medicine & reconstructive surgeryArticle
- Significance of Pelvic Floor Hiatus in Female Pelvic Organ Prolapse.Journal of medical ultrasoundReview
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisPerineorrhaphy (Pe) has not been subject to a comprehensive perioperative quantitative assessment (QA). We wish to nominate such an assessment (Pe-QA) for any Pe, through testing the QA on the excision of the perineal gap (PG) at the time of posterior repair (PR).
methodsAt 50 consecutive PRs, the following measurements were taken pre- and postoperatively: (i) perineorrhaphy width (PW) equals PG [1]; (ii) perineorrhaphy depth (PD); (iii) perineal length (PL); (iv) midperineal thickness (MPT); (v) genital hiatus (GH) and (vi) total posterior vaginal length (TPVL). The total vaginal length was also measured. Surgical details deemed appropriate to each repair were recorded.
resultsThe overall means and ranges (cm) were: (i) PW 2.9 (1.5-5.5); (ii) PD 1.6 (0.8-2.0); (iii) PL 2.9 (1.5-4.5); (iv) MPT 0.7 (0.4-1.1); (v) GH 3.9 (2.3-6.5); (vi) TPVL 9.2 (6.0-12.5). Excision of PG (100 % cases reducing PW and PD to zero) resulted in a mean 23.6 % increase in total vaginal length over that if the repair was commenced at the hymen, despite a 3.3 % decrease in the TPVL perioperatively. There was a mean 30.8 % reduction in the GH, a mean 27.6 % increase in the PL and a mean 57.1 % increase in the MPT.
conclusionsPe and the anatomical results of such surgery can be subject to quantitative assessment allowing comparison studies between different forms of Pe and possibly other types of perineal surgeries.
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