SynthesisInternational urogynecology journal2021
Investigating the association of the dimensions of genital hiatus and levator hiatus with pelvic organ prolapse: a systematic review.
Synthesis in International urogynecology journal, 2021. 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.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Effect of pelvic floor muscle training on pelvic floor muscle morphometry in subjects with pelvic organ prolapse: a systematic review and meta-analysis.BMC women's health · 2025Pooled it
- Modified first-level reconstruction and reinforcement during laparoscopic total hysterectomy for prevention of post-operative pelvic organ prolapse: a randomized clinical trial.African health sciences · 2024Trial
- Levator hiatus area from 21 weeks' gestation to 8 years after first delivery according to vaginal parity: prospective cohort study with an 8-year recall extension.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026Article
- Pelvic floor morphofunctional characteristics in female rugby players beyond the tackle. Pelvic floor muscles in high-impact sports.Scientific reports · 2026Article
- Assessment of risk factors for pelvic organ prolapse using dynamic MRI combined with clinical data.Insights into imaging · 2026Article
- Association between enlarged genital hiatus and prolapse with overactive bladder 1 year after vaginal delivery.American journal of obstetrics and gynecology · 2025Article
- Pelvic shape predisposes for pelvic organ prolapse: a geometric morphometry study.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025Article
- Investigating the Impact of Benign Indication Hysterectomy on Pelvic Floor Symptoms and Sexual Function: A Prospective Study Integrating Pelvic Floor Ultrasonography and Surface Electromyography Test.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Up for the tackle? The pelvic floor and rugby. A review.European journal of sport science · 2024Review
- Clinically significant changes in anal sphincter hiatal area in patients with gestational diabetes mellitus and pelvic organ prolapse.World journal of diabetes · 2024Article
- Improving radiological quantification of levator hiatus features with measures informed by statistical shape modeling.Journal of medical imaging (Bellingham, Wash.) · 2024Article
- Analysis of minimal levator ani hiatus area based on MRI in female adults without pelvic floor dysfunction at different age groups.Archives of gynecology and obstetrics · 2024Article
- Article
- Multimodal measurements of levator bowl volume in nulligravid asymptomatic women: endovaginal ultrasound versus MRI.International urogynecology journal · 2023Article
- The pelvic organ prolapse quantification system: stopping its application.Annals of translational medicine · 2023Article
- Sexual Activity and Dyspareunia After Pelvic Organ Prolapse Surgery: A 5-Year Nationwide Follow-up Study.European urology open science · 2022Article
- International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training.International urogynecology journal · 2022Review
- What Influences Women to Adhere to Pelvic Floor Exercises after Physiotherapy Treatment? A Qualitative Study for Individualized Pelvic Health Care.Journal of personalized medicine · 2021Article
- The International Urogynaecology Consultation: the new IUGA educational project.International urogynecology journal · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and hypothesisPelvic organ prolapse (POP) is a very common and distressing problem that affects women's quality of life. This systematic review aimed to investigate the association of the dimensions of the genital hiatus and levator hiatus at rest and Valsalva with POP.
methodsThe Cochrane Library, PubMed, Scopus, Embase and Web of Science were searched on 25 April 2020. All data were analyzed using Review Manager 5.3.
resultsOf the 1288 papers reviewed, 21 (n = 5145: 2909 women with POP and 2236 controls) were considered for meta-analysis. Compared with the normal pelvic floor group, the urogenital hiatus size in the POP group was significantly higher at rest (mean difference: 0.49; 95% CI: [0.43, 0.55], P < 0.00001) and at Valsalva (mean difference: 0.79; 95% CI: [0.70, 0.89], P < 0.00001). Also, the levator ani hiatus size in the POP group was significantly higher at rest (mean difference: 0.52, 95% CI: [0.25, 0.78], P < 0.0001) and at Valsalva (mean difference: 1.01; 95% CI: [0.73,1.28], P < 0.00001) compared with that in the normal pelvic floor group.
conclusionThis systematic review showed that the sizes of the urogenital hiatus and levator ani hiatus and area of the levator hiatus in the POP group were significantly higher than those in the normal pelvic floor groups in both positions (rest or Valsalva maneuver). Also, in the POP group, the levator hiatus length at rest was significantly lower than that in the Valsalva maneuver.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.