ArticleFemale pelvic medicine & reconstructive surgery
Pelvic Organ Prolapse Stage and the Relationship to Genital Hiatus and Perineal Body Measurements.
Article in Female pelvic medicine & reconstructive surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Investigating the association of the dimensions of genital hiatus and levator hiatus with pelvic organ prolapse: a systematic review.International urogynecology journal · 2021Pooled it
- Genital hiatus area and pelvic floor dysfunction symptoms in transgender women after gender-affirming surgery.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026Article
- Association between enlarged genital hiatus and prolapse with overactive bladder 1 year after vaginal delivery.American journal of obstetrics and gynecology · 2025Article
- A new understanding of the mechanical mechanism of posterior vaginal prolapse based on magnetic resonance imaging.Nagoya journal of medical science · 2025Article
- Twenty-Seven Years After Sex Reassignment Surgery in Female Transgender Patients: Is Prolapse of the Neovagina an Issue?International urogynecology journal · 2025Article
- International Urogynecology consultation chapter 2 committee 3: the clinical evaluation of pelvic organ prolapse including investigations into associated morbidity/pelvic floor dysfunction.International urogynecology journal · 2023Review
- One-year follow-up after standardized perineal reconstruction in women with deficient perineum after vaginal delivery.Acta obstetricia et gynecologica Scandinavica · 2023Article
- Association Between Genital Hiatus Size 8 Weeks Postpartum and Pelvic Organ Prolapse 1 Year After the First Vaginal Delivery.Urogynecology (Philadelphia, Pa.) · 2023Article
- The pelvic organ prolapse quantification system: stopping its application.Annals of translational medicine · 2023Article
- Hiatal failure: effects of pregnancy, delivery, and pelvic floor disorders on level III factors.International urogynecology journal · 2023Review
- Prospective evaluation of genital hiatus in patients undergoing surgical prolapse repair.International urogynecology journal · 2022Article
- Sexual Activity and Dyspareunia After Pelvic Organ Prolapse Surgery: A 5-Year Nationwide Follow-up Study.European urology open science · 2022Article
- Surgical anatomy of the vaginal introitus.Neurourology and urodynamics · 2022Review
- Surgical Repair of the Genital Hiatus: A Narrative Review.International urogynecology journal · 2021Review
- Risk Factors for Surgical Failure and Worsening Pelvic Floor Symptoms Within 5 Years After Vaginal Prolapse Repair.Obstetrics and gynecology · 2020Article
- Ultrasound imaging of the perineal body: a useful clinical tool.International urogynecology journal · 2020Observational
- Longitudinal Changes in the Genital Hiatus Preceding the Development of Pelvic Organ Prolapse.American journal of epidemiology · 2019Article
- The Manchester procedure: anatomical, subjective and sexual outcomes.International urogynecology journal · 2018Observational
- Significance of Pelvic Floor Hiatus in Female Pelvic Organ Prolapse.Journal of medical ultrasoundReview
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesThis study aimed to describe the relationship between genital hiatus (GH) and perineal body (PB) measurements with increasing pelvic organ prolapse (POP) stage in a large cohort of women referred to Urogynecology clinic for pelvic floor disorders.
methodsRetrospective chart review of all new patients seen in an academic Urogynecology clinic between January 2007 and September 2011 was performed. Data were extracted from a standardized intake form. All patients underwent a Pelvic Organ Prolapse Quantification (POPQ) examination. Descriptive statistics compared the study population. Analysis of variance was used to compare GH and PB measurements by prolapse stage. Fisher least significant differences were used for post hoc comparisons of means between prolapse stages. Pearson correlations were used to evaluate the associations between GH and PB measurements and patient characteristics.
resultsA total of 1595 women with POPQ examinations comprised the study population. The mean age was 55.3 ± 14.8 years with a body mass index of 30.3 ± 7.6 kg/m, most women were parous (90%), 40% were Hispanic, and 33% had undergone prior hysterectomy for indications exclusive of POP. Women with any prior prolapse repair were excluded, 6.5% had a prior incontinence procedure. Perineal body measurements were slightly larger for stage 2 POP, but overall did not vary across other prolapse stages (all P > 0.05). In contrast, GH measurements increased through stage 3 POP, GH measurements decreased for stage 4 POP.
conclusionsMean PB measurements did not demonstrate large changes over prolapse stage, whereas GH measurements increased through stage 3 POP. Genital hiatus serves as an important marker for underlying pelvic muscle damage.
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