ArticleInternational urogynecology journal2018
Prolapse assessment supine and standing: do we need different cutoffs for "significant prolapse"?
Article in International urogynecology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Diagnostic value of pelvic floor ultrasonography for diagnosis of pelvic organ prolapse: a systematic review.International urogynecology journal · 2020Pooled it
- Identification of risk factors for postpartum pelvic floor dysfunction in a Chinese population: a retrospective study.BMC pregnancy and childbirth · 2026Article
- Three-dimensional pelvic floor ultrasound measuring levator ani hiatus area and its association with pelvic organ prolapse: a population based retrospective cross-sectional study in Chinese women.Quantitative imaging in medicine and surgery · 2026Article
- 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
- International Urogynecological Consultation Chapter 2.2: Imaging in the Diagnosis of Pelvic Organ Prolapse.International urogynecology journal · 2025Review
- Which Positions Optimize Pelvic Floor Activation in Female Athletes?Life (Basel, Switzerland) · 2025Article
- 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
- Is the transperineal ultrasonography approach effective for the diagnosis of rectocele?Gastroenterology report · 2021Article
- Differential diagnosis of middle compartment pelvic organ prolapse with transperineal ultrasound.International urogynecology journal · 2021Observational
- 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
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5 authors.
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Abstract
introduction and hypothesisTranslabial ultrasound (TLUS) has shown good correlations between clinical examination and imaging findings in the supine position, and limits of normality have been described. This is not the case for imaging in the standing position. This study was designed to test the hypothesis that different cutoff values are required for imaging in the standing position.
methodsThis was a retrospective study carried out in a tertiary urogynecological unit in women presenting with symptoms of lower urinary tract and pelvic floor dysfunction between August 2013 and December 2015. All women underwent a standardized interview, 4D TLUS and a POP-Q assessment. Organ descent on ultrasound was measured relative to the postero-inferior margin of the symphysis pubis (SP) on maximal Valsalva in the supine and standing positions. Receiver operator characteristic (ROC) statistics were used to determine optimal cutoffs for "normal" pelvic organ support.
resultsWe assessed 243 data sets. Mean patient age was 57 years. Prolapse symptoms were reported by 59.2%, and POP of stage ≥ 2 was found in 82.3%. On analysing imaging data sets obtained in the standing position, we obtained similar cutoff values to those established previously for supine imaging, using ROC statistics. The levator hiatus distended significantly more on Valsalva in the standing position compared with supine, and on ROC analysis we identified a new optimal cutoff of 29 cm
conclusionsEstablished cutoffs for supine imaging of organ descent are suitable for imaging in the standing position. Hiatal distensibility may require a higher cutoff of 29 cm
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