ArticleUltrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology2020
Vaginal laxity: which measure of levator ani distensibility is most predictive?
Article in Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 33 citations in OpenAlex.
- Study on the efficacy of fractional COScientific reports · 2025Trial
- Discriminative Performance and Preliminary Psychometric Evaluation of the Study-Specific Composite Questionnaire Including Vaginal Laxity Questionnaire.International urogynecology journal · 2026Article
- Chronic Maternal Pelvic Morbidity: A Neglected Tragedy: Where is Pelvic Maternal Morbidity in Maternal and Child Health? : Advocating for a Public Health Approach to Pelvic Floor Disorders Resulting from Pregnancy and Childbirth Trauma.International urogynecology journal · 2026Article
- Prevalence and Risk Factors for Vaginal Flatus From Mid-Pregnancy to 12 Months Postpartum: A Longitudinal Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- Prevalence of vaginal laxity in primiparous women six months after birth.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025Article
- Is Vaginal Laxity Associated with Vaginal Parity and Mode of Delivery?International urogynecology journal · 2024Observational
- Ultrasound imaging of core muscles activity in multiparous women with vaginal laxity: a cross-sectional study.Scientific reports · 2024Observational
- Current Perspectives in Vaginal Laxity Measurement: A Scoping Review.Archives of plastic surgery · 2023Article
- Measurement of the vaginal wall thickness by transabdominal and transvaginal ultrasound of women with vaginal laxity: a cross-sectional study.International urogynecology journal · 2022Article
- Cross-cultural adaptation and validation of the Brazilian Portuguese version of the Female Sexual Distress Scale-Revised questionnaire for women with vaginal laxity.International urogynecology journal · 2022Article
- A Novel Technique Combining Human Acellular Dermal Matrix (HADM) and Enriched Platelet Therapy (EPT) for the Treatment of Vaginal Laxity: A Single-Arm, Observational Study.Aesthetic plastic surgery · 2022Observational
- Is vaginal laxity an early symptom of pelvic organ prolapse?International urogynecology journal · 2022Observational
- The relationship between pelvic floor functions and vaginal microbiota in 6-8 weeks postpartum women.Frontiers in microbiology · 2022Article
- Treating Vaginal Relaxation Syndrome Using Erbium: Yttrium Aluminum Garnet Fractional Laser: A Retrospective Study.Gynecology and minimally invasive therapyArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the predictive value of measures of levator hiatal distension at rest and on maximum Valsalva maneuver for symptoms of vaginal laxity.
methodsThis was a retrospective study of women seen at a tertiary urogynecological unit. All women underwent a standardized interview, clinical examination and four-dimensional translabial ultrasound examination. Area, anteroposterior diameter (APD) and coronal diameter (CD) of the levator hiatus were measured at rest and on maximum Valsalva maneuver in the plane of minimal hiatal dimensions using the rendered volume technique, by an operator blinded to all clinical data. The association between levator hiatal measurements and vaginal laxity was assessed, and receiver-operating-characteristics (ROC)-curve analysis was used to determine their predictive value.
resultsData from 490 patients were analyzed. Mean age was 58 (range, 18-88) years, and vaginal laxity was reported by 111 (23%) women. Measurements obtained on maximum Valsalva were significantly larger in women who reported vaginal laxity than in those who did not, with mean levator hiatal area, APD and CD of 30.45 ± 8.74 cm
conclusionsLevator hiatal area on maximum Valsalva seems to be the measure of levator ani distensibility that is most predictive of symptoms of vaginal laxity. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.
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