Observational studyInternational urogynecology journal2015
What is abnormal uterine descent on translabial ultrasound?
Observational study 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 31 papers.
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Who cites it
31 citing papers in PubMed, 73 citations in OpenAlex.
- Multicompartmental prolapse: A comparative study between clinical examination and ultrasound.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Trial
- Improving Diagnostic Accuracy for Surgical Pelvic Organ Prolapse: A Sequential Protocol Combining POP-Q Examination and Transperineal Ultrasound.Journal of clinical medicine · 2026Article
- Artificial Intelligence to Determine Correct Midsagittal Plane in Dynamic Transperineal Ultrasound.Journal of clinical ultrasound : JCU · 2025Observational
- Automated Evaluation of Female Pelvic Organ Descent on Transperineal Ultrasound: Model Development and Validation.International urogynecology journal · 2025Article
- Is two-dimensional oblique parasagittal ultrasound imaging valid for levator ani muscle assessment?Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025Article
- Ultrasound Diagnosis of Pelvic Organ Prolapse Using Artificial Intelligence.Journal of clinical medicine · 2025Article
- International Urogynecological Consultation Chapter 2.2: Imaging in the Diagnosis of Pelvic Organ Prolapse.International urogynecology journal · 2025Review
- Ultrasound Diagnosis of Levator Ani Hiatus Enlargement and Cystocele in Standing and Supine Positions in the Postpartum Period.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2025Article
- Pelvic Floor Ultrasound Findings and Symptoms of Pelvic Floor Dysfunction During Pregnancy.International urogynecology journal · 2024Article
- Influence of Transperineal Ultrasound on the POP-Q System in the Surgical Indication of Symptomatic Pelvic Organ Prolapse.Journal of clinical medicine · 2024Article
- Observational
- Translabial ultrasound evaluation after tension-free transobturator tape technique: Outcomes based on the tape's position.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023Article
- Interobserver variability of ultrasound measurements for the differential diagnosis of uterine prolapse and cervical elongation without uterine prolapse.International urogynecology journal · 2022Observational
- Predictive Model for the Diagnosis of Uterine Prolapse Based on Transperineal Ultrasound.Tomography (Ann Arbor, Mich.) · 2022Observational
- Abdominal pressure and pelvic organ prolapse: is there an association?International urogynecology journal · 2022Article
- 2D ultrasound diagnosis of middle compartment prolapse: a multicenter study.Quantitative imaging in medicine and surgery · 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
- Rotational forceps: a retrospective study evaluating anatomical and functional consequences for the pelvic floor.International urogynecology journal · 2021Observational
- Correlation between translabial ultrasound parameters and outcomes in retropubic mid-urethral slings: can we predict success?World journal of urology · 2021Article
Corrections and comments
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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 hypothesisUltrasound is increasingly used in evaluating women with pelvic floor dysfunction, including quantification of pelvic organ prolapse (POP). The aim of this study was to define the optimal cutoff for uterine descent on translabial ultrasound (TLUS) to predict symptoms of prolapse.
methodsThis was a retrospective study of patients seen for lower urinary tract symptoms and/or POP at a tertiary urogynecological center. All patients underwent a standardized interview, 4D TLUS and the International Continence Society Pelvic Organ Prolapse Quantification system (ICS POP-Q) assessment. Pelvic organ descent on US was measured relative to the posteroinferior margin of the symphysis pubis (SP) on maximum Valsalva. Receiver operator characteristic (ROC) statistics was used to determine the optimal cutoff.
resultsWe assessed 538 data sets. Mean patient age was 53 years (range 18-88). Prolapse symptoms were reported by 263 (49 %). Clinically significant POP, i.e., ICS POP-Q stage ≥2 was found in 74.5 %. This comprised a cystocele in 322, uterine prolapse in 63, enterocele in ten, and rectocele in 280 women. On TLUS, mean uterine position on Valsalva was 14.3 mm above the SP. Prolapse symptoms were strongly associated with uterine descent (20.7 mm vs 7.6 mm, P < 0.001). Using ROC statistics with and without excluding women with a dominant prolapse in other compartments, +15 mm was found to be the optimal cutoff for predicting symptoms of prolapse, with areas under the curve of 0.68 and 0.74, respectively.
conclusionsAn optimal cutoff to predict prolapse symptoms due to uterine descent is a cervix descending to 15 mm above the symphysis pubis on maximum Valsalva.
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