Severity of pelvic organ prolapse associated with measurements of pelvic floor function

Ghetti, Chiara; Gregory, W. Thomas; Edwards, S. Renee; Otto, Lesley N.; Clark, Amanda L.

doi:10.1007/s00192-004-1274-1

Cited by 51Pelvic floor disorders treatmentsUrinary Bladder and Prostate ResearchSexual function and dysfunction studies

Severity of pelvic organ prolapse associated with measurements of pelvic floor function

Ghetti, Chiara, Gregory, W. Thomas, Edwards, S. Renee, Otto, Lesley N., Clark, Amanda L.·2005·International Urogynecology Journal

DOI 10.1007/s00192-004-1274-1

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Abstract

This study tested the hypothesis that clinical measurements of the superficial perineum and of pelvic floor muscle (PFM) function correlate with the severity of pelvic organ prolapse. This retrospective cross-sectional study assessed 1037 women in an academic urogynecologic practice. Greatest descent of prolapse, by the Pelvic Organ Prolapse Quantification system, was correlated with two assessments of levator function--the Oxford grading scale and levator hiatus (LH) size measured by digital examination. Correlations were calculated using Pearson's correlation for continuous variables and Kendall's tau-b. Severity of prolapse correlated moderately with genital hiatus (GH) (r = 0.5, p<0.0001) and with LH (transverse r = 0.4, p < 0.0001; longitudinal r = 0.5, p < 0.0001), but weakly with the Oxford grading scale (r = -0.16, p < 0.0001). LH correlated with GH (r = 0.5, p < 0.0001) but not with perineal body (r = 0.06, p = 0.06). Both GH and LH size are associated with the severity of prolapse. LH size correlates more strongly to prolapse severity than assessment of PFM function by the Oxford grading scale.

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The association between a decrease in levator plate angle, an increase in levator hiatus area and presence of POP has been confirmed in several studies.
“The association between a decrease in levator plate angle, increase in levator hiatus area and presence of POP has been confirmed in several studies [5–13].”
From International urogynecology consultation chapter 3 committee 2; conservative treatment of patient with pelvic organ prolapse: Pelvic floor muscle training (2022) · cites this paper as [7]

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Authors: Ghetti, C., Gregory, W. T., Edwards, S. R., Otto, L. N., & Clark, A. L.
Affiliations: Oregon Health & Science University (US)
Corresponding author: Ghetti, Chiara
ORCID: Gregory, W. Thomas
Clark, Amanda L.
Venue: International Urogynecology Journal
Publisher: Springer Science and Business Media LLC
Published: 2005-01-20
Volume: 16
Issue: 6
Pages: 432-436
ISSN: 0937-3462 (ISSN-L)
1433-3023
DOI: 10.1007/s00192-004-1274-1
OpenAlex: W1964668736
Cited by: 51
References: 12
Citations by year: 2026: 1 · 2025: 2 · 2023: 4 · 2022: 2 · 2021: 6 · 2020: 1 · 2019: 2 · 2018: 5 · 2017: 3 · 2016: 3 · 2015: 5 · 2014: 5 · 2013: 1 · 2012: 1
FWCI: 1.42
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: International Urogynecology Journal (publishedVersion)
PubMed (publishedVersion)
Funders: Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD-0143)
Topics: Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Keywords: pelvic organ prolapse, prolapse severity, pelvic floor muscle function, levator hiatus, genital hiatus, perineal body, POP-Q
MeSH terms: Adult, Aged, Cross-Sectional Studies, Female, Humans, Magnetic Resonance Imaging, Middle Aged, Perineum, Retrospective Studies, Severity of Illness Index, Uterine Prolapse, Pelvic Floor

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Severity of pelvic organ prolapse associated with measurements of pelvic floor function

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