The DOI matches its Crossref record; 48 of the 48 references it cites were found in a registry or an index.
What's new in the functional anatomy of pelvic organ prolapse?
Open accessAbstract
Purpose of review: Provide an evidence-based review of pelvic floor functional anatomy related to pelvic organ prolapse. Recent findings: Pelvic organ support depends on interactions between the levator ani muscle and pelvic connective tissues. Muscle failure exposes the vaginal wall to a pressure differential producing abnormal tension on the attachments of the pelvic organs to the pelvic sidewall. Birth-induced injury to the pubococcygeal portion of the levator ani muscle is seen in 55% of women with prolapse and 16% of women with normal support. Failure of the lateral connective tissue attachments between the uterus and vagina to the pelvic wall (cardinal, uterosacral, and paravaginal) are strongly related with prolapse (effect sizes ∼2.5) and are also highly correlated with one another (r ∼ 0.85). Small differences exist with prolapse in factors involving the vaginal wall length and width (effect sizes ∼1). The primary difference in ligament properties between women with and without prolapse is found in ligament length. Only minor differences in ligament stiffness are seen. Summary: Pelvic organ prolapse occurs because of injury to the levator ani muscles and failure of the lateral connections between the pelvic organs to the pelvic sidewall. Abnormalities of the vaginal wall fascial tissues may play a minor role.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
POP is caused by a combination of impairment of the pelvic floor muscles and the connective tissue.
“POP is caused by a combination of impairment of the pelvic floor muscles (PFM) and the connective tissue [4].”
Damage to the pelvic floor muscles is three times more likely to be found in women with POP than in those without.
“damage to the PFMs is three times more likely to be found in women with POP than in those without [4].”
Women with POP have pelvic floor muscle impairment.
“Women with POP have shown to have PFM impairment [4, 6, 8–16]”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Anatomie aspects of vaginal eversion after hysterectomy
DeLancey, J. O. L. (1992) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(92)91562-o · Cited by 999
Self-citationDeLancey, J. O. L., Morgan, D. M., Fenner, D. E., Kearney, R., Guire, K., Miller, J. M., Hussain, H., Umek, W., Hsu, Y., & Ashton-Miller, J. A. (2007) · Obstetrics & Gynecology · doi:10.1097/01.aog.0000250901.57095.ba · Cited by 707
Self-citationDeLancey, J. O. L. (2003) · Obstetrics and Gynecology · doi:10.1016/s0029-7844(02)02465-1 · Cited by 585
Self-citationLevator Trauma After Vaginal Delivery
Dietz, H. P., & Lanzarone, V. (2005) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000178779.62181.01 · Cited by 555
Levator trauma is associated with pelvic organ prolapse
Dietz, H., & Simpson, J. (2008) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2008.01751.x · Cited by 515
Intrapartum risk factors for levator trauma
Shek, K., & Dietz, H. (2010) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2010.02704.x · Cited by 359
Advanced anterior vaginal wall prolapse is highly correlated with apical prolapse
Rooney, K., Kenton, K., Mueller, E. R., FitzGerald, M. P., & Brubaker, L. (2006) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2006.06.065 · Cited by 281
The relationship between anterior and apical compartment support
Summers, A., Winkel, L. A., Hussain, H. K., & DeLancey, J. O. L. (2006) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2006.01.057 · Cited by 260
Self-citationInteraction Among Apical Support, Levator Ani Impairment, and Anterior Vaginal Wall Prolapse
Chen, L., Ashton‐Miller, J. A., Hsu, Y., & DeLancey, J. O. L. (2006) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000227786.69257.a8 · Cited by 189
Self-citationSchatzmann, L., Brunner, P., & Stäubli, H. U. (1998) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s001670050224 · Cited by 187
Dietz, H. P., GILLESPIE, A. V. L., & Phadke, P. (2007) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/j.1479-828x.2007.00748.x · Cited by 138
Chen, L., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2009) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2009.04.043 · Cited by 135
Self-citationRamanah, R., Berger, M. B., Parratte, B., & DeLancey, J. O. L. (2012) · International Urogynecology Journal · doi:10.1007/s00192-012-1819-7 · Cited by 110
Self-citationAnterior vaginal wall length and degree of anterior compartment prolapse seen on dynamic MRI
Hsu, Y., Chen, L., Summers, A., Ashton-Miller, J. A., & DeLancey, J. O. L. (2007) · International Urogynecology Journal · doi:10.1007/s00192-007-0405-x · Cited by 100
Self-citationThe gross and microscopic anatomy of the transverse cervical ligament
Range, R. L., & Woodburne, R. T. (1964) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(64)90802-6 · Cited by 100
Vaginal high-pressure zone assessed by dynamic 3-dimensional ultrasound images of the pelvic floor
Jung, S.-A., Pretorius, D. H., Padda, B. S., Weinstein, M. M., Nager, C. W., den Boer, D. J., & Mittal, R. K. (2007) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2007.04.026 · Cited by 95
Umek, W. H., Morgan, D. M., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2004) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000113104.22887.cd · Cited by 92
Self-citationComparative analysis of pelvic ligaments: a biomechanics study
Rivaux, G., Rubod, C., Dedet, B., Brieu, M., Gabriel, B., & Cosson, M. (2012) · International Urogynecology Journal · doi:10.1007/s00192-012-1861-5 · Cited by 90
Guaderrama, N. M., Nager, C. W., Liu, J., Pretorius, D. H., & Mittal, R. K. (2005) · Neurourology and Urodynamics · doi:10.1002/nau.20112 · Cited by 89
Attachment of the rectovaginal septum to the pelvic sidewall
Leffler, K. S., Thompson, J. R., Cundiff, G. W., Buller, J. L., Burrows, L. J., & Ybarra, M. A. S. (2001) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2001.116366 · Cited by 87
Betschart, C., Kim, J., Miller, J. M., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2014) · International Urogynecology Journal · doi:10.1007/s00192-014-2395-9 · Cited by 70
Self-citationLarson, K. A., Luo, J., Guire, K. E., Chen, L., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2011) · International Urogynecology Journal · doi:10.1007/s00192-011-1586-x · Cited by 67
Self-citationDeLancey, J. O. L., Sørensen, H. C., Lewicky‐Gaupp, C., & Smith, T. M. (2011) · International Urogynecology Journal · doi:10.1007/s00192-011-1527-8 · Cited by 59
Self-citationFemale patient-specific finite element modeling of pelvic organ prolapse (POP)
Chen, Z., Joli, P., Feng, Z., Rahim, M., Pirró, N., & Bellemare, M. (2014) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2014.11.039 · Cited by 54
Withagen, M., Milani, A. L., de Leeuw, J., & Vierhout, M. E. (2012) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2011.03231.x · Cited by 53
A multi-compartment 3-D finite element model of rectocele and its interaction with cystocele
Luo, J., Chen, L., Fenner, D. E., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2015) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2015.02.041 · Cited by 53
Self-citationOrigin and insertion points involved in levator ani muscle defects
Margulies, R. U., Huebner, M., & DeLancey, J. O. L. (2007) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2006.10.894 · Cited by 50
Self-citationChen, L., Ramanah, R., Hsu, Y., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2012) · International Urogynecology Journal · doi:10.1007/s00192-012-1801-4 · Cited by 49
Self-citationLuo, J., Betschart, C., Chen, L., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2013) · International Urogynecology Journal · doi:10.1007/s00192-013-2211-y · Cited by 46
Self-citationKim, J., Betschart, C., Ramanah, R., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2014) · Neurourology and Urodynamics · doi:10.1002/nau.22649 · Cited by 44
Self-citationIn Vivo Properties of Uterine Suspensory Tissue in Pelvic Organ Prolapse
Luo, J., Smith, T. M., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2013) · Journal of Biomechanical Engineering · doi:10.1115/1.4026159 · Cited by 43
Self-citationLevator ani defect scores and pelvic organ prolapse: is there a threshold effect?
Berger, M. B., Morgan, D. M., & DeLancey, J. O. L. (2014) · International Urogynecology Journal · doi:10.1007/s00192-014-2388-8 · Cited by 38
Self-citationLarson, K. A., Hsu, Y., Chen, L., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2010) · International Urogynecology Journal · doi:10.1007/s00192-010-1161-x · Cited by 36
Self-citationLewicky‐Gaupp, C., Yousuf, A. A., Larson, K. A., Fenner, D. E., & DeLancey, J. O. L. (2010) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2010.01.001 · Cited by 36
Self-citationChanda, A., Unnikrishnan, V. U., Richter, H. E., & Lockhart, M. E. (2016) · International Journal for Numerical Methods in Biomedical Engineering · doi:10.1002/cnm.2767 · Cited by 36
A technique to study the passive supports of the uterus
Bartscht, K. D., & DeLancey, J. O. L. (1988) · Obstetrics and Gynecology · doi:10.1097/00006250-198812000-00028 · Cited by 36
Self-citationRamanah, R., Berger, M. B., Chen, L., Riethmuller, D., & DeLancey, J. O. L. (2012) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2012.08.036 · Cited by 35
Self-citationBiaxial mechanical properties of swine uterosacral and cardinal ligaments
Becker, W. R., & Vita, R. D. (2014) · Biomechanics and Modeling in Mechanobiology · doi:10.1007/s10237-014-0621-5 · Cited by 35
Surgery for cystocele III: do all cystoceles involve apical descent?
DeLancey, J. O. L. (2012) · International Urogynecology Journal · doi:10.1007/s00192-011-1626-6 · Cited by 31
Self-citationA novel technique to measure in vivo uterine suspensory ligament stiffness
Smith, T. M., Luo, J., Hsu, Y., Ashton‐Miller, J. A., & DeLancey, J. O. (2013) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2013.06.003 · Cited by 31
Self-citationLevator defects affect perineal position independently of prolapse status
Clark, N. A., Brincat, C., Yousuf, A. A., & DeLancey, J. O. L. (2010) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2010.07.044 · Cited by 30
Self-citationYousuf, A. A., Chen, L., Larson, K. A., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2014) · International Urogynecology Journal · doi:10.1007/s00192-014-2372-3 · Cited by 29
Self-citationLuo, J., Larson, K. A., Fenner, D. E., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2012) · International Urogynecology Journal · doi:10.1007/s00192-012-1760-9 · Cited by 28
Self-citationRubod, C., Lecomte‐Grosbras, P., Brieu, M., Giraudet, G., Betrouni, N., & Cosson, M. (2013) · International Urogynecology Journal · doi:10.1007/s00192-013-2135-6 · Cited by 26
Accuracy of concepts in female pelvic floor anatomy: facts and myths!
Fritsch, H., Zwierzina, M., & RISS, P. A. (2011) · World Journal of Urology · doi:10.1007/s00345-011-0777-x · Cited by 25
Foon, R., Agur, W., Kingsly, A., White, P., & Smith, P. A. (2011) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2011.11.002 · Cited by 15
Swenson, C. W., Luo, J., Chen, L., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2016) · International Urogynecology Journal · doi:10.1007/s00192-016-2980-1 · Cited by 12
Self-citationApical Descent in the Office and the Operating Room
Crosby, E. C., Sharp, K. M., Gasperut, A., DeLancey, J. O., & Morgan, D. M. (2013) · Urogynecology · doi:10.1097/spv.0b013e31829c6365 · Cited by 10
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
The Most Common Functional Disorders and Factors Affecting Female Pelvic Floor
Tim, S., & Mazur-Biały, A. I. (2021) · Life · doi:10.3390/life11121397 · Cited by 121
Bø, K., Anglès-Acedo, S., Batra, A., Brækken, I. H., Chan, Y. L., Jorge, C. H., Kruger, J., Yadav, M., & Dumoulin, C. (2022) · International Urogynecology Journal · doi:10.1007/s00192-022-05324-0 · Cited by 64
“Women with POP have shown to have PFM impairment [4, 6, 8–16], and damage to the PFMs is three times more likely to be found in women with POP than in those without [4].”
BackgroundThe Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review
Roch, M., Gaudreault, N., Cyr, M., Venne, G., Bureau, N. J., & Morin, M. (2021) · Life · doi:10.3390/life11090900 · Cited by 56
Chi, N., Lozo, S., Rathnayake, R. A. C., Botros-Brey, S., Ma, Y., Damaser, M. S., & Wang, R. R. (2022) · SSRN Electronic Journal · doi:10.1016/j.actbio.2022.08.059 · Cited by 52
Pelvic floor dysfunction in midlife women
Johnston, S. L. (2019) · Climacteric · doi:10.1080/13697137.2019.1568402 · Cited by 46
Szymczak, P., Grzybowska, M. E., & Wydra, D. G. (2019) · Neurourology and Urodynamics · doi:10.1002/nau.24115 · Cited by 41
DeLancey, J. O. L., Mastrovito, S., Masteling, M., Horner, W., Ashton‐Miller, J. A., & Chen, L. (2023) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2023.11.1247 · Cited by 38
Self-citationÓlafsdóttir, Þ., Þorleifsson, G., Sulem, P., Stefánsson, Ó. A., Medek, H., Olafsson, K., Ingthorsson, O., Gudmundsson, V., Jónsdóttir, I., Halldorsson, G. H., et al. (2020) · Communications Biology · doi:10.1038/s42003-020-0857-9 · Cited by 39
Longitudinal Changes in the Genital Hiatus Preceding the Development of Pelvic Organ Prolapse
Handa, V. L., Blomquist, J. L., Carroll, M. K., Roem, J., & Muñoz, Á. (2019) · American Journal of Epidemiology · doi:10.1093/aje/kwz195 · Cited by 36
Pasqualotto, L. T., Riccetto, C., Biella, A. F. D. C. L., Marques, J., Pereira, L. C., Alves, F., Lunardi, A. L. B., Adami, D. B. V., Nagib, A. B. L., Martinho, N., et al. (2022) · International Urogynecology Journal · doi:10.1007/s00192-021-05032-1 · Cited by 33
Voigt, M. R., Hemal, K., & Matthews, C. A. (2019) · Sexual Medicine Reviews · doi:10.1016/j.sxmr.2019.03.005 · Cited by 32
Min, L., Chunxue, Y., Lv, Q., Dong, X., Zhang, Y., Guifang, Z., Kejia, H., Gai, T., & Feng, Q. (2022) · Trials · doi:10.1186/s13063-022-06051-z · Cited by 31
Gordon, M. T., DeLancey, J. O. L., Renfroe, A., Battles, A., & Chen, L. (2019) · Interface Focus · doi:10.1098/rsfs.2019.0022 · Cited by 29
Self-citationLi, S., Hao, M.-L., Li, B., Chen, M., Chen, J., Tang, J., Hong, S., Min, J., Hu, M., & Li, H. (2020) · Cell Death and Disease · doi:10.1038/s41419-020-2484-2 · Cited by 29
Effect of mesh anchoring technique in uterine prolapse repair surgery: A finite element analysis
Silva, M. E., Bessa, J. N. M., Parente, M., Mascarenhas, T., Jorge, R. N., & Fernandes, A. A. (2021) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2021.110649 · Cited by 27
Paul, K., Darzi, S., Borgo, M. P. D., Cousins, F. L., Werkmeister, J. A., Gargett, C. E., & Mukherjee, S. (2020) · Applied Materials Today · doi:10.1016/j.apmt.2020.100890 · Cited by 26
Ocakoğlu, S. R., & Coşkun, B. (2024) · Medical Principles and Practice · doi:10.1159/000538538 · Cited by 23
Role of sex steroid hormones in pelvic organ prolapse
Reddy, R. A., Cortessis, V. K., Dancz, C. E., Klutke, J. J., & Stanczyk, F. Z. (2020) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000001546 · Cited by 23
Update on surgical treatment of female stress urinary incontinence
Monti, M., Fischetti, M., Pinto, A. D., Santangelo, G., Giannini, A., D’Oria, O., D’Augè, T. G., Carbone, F., Perniola, G., Donato, V. D., et al. (2021) · Minerva Obstetrics and Gynecology · doi:10.23736/s2724-606x.20.04658-4 · Cited by 20
Yang, M., Chen, C., Wang, Z., Long, J., Huang, R., Qi, W., & Shi, R. (2024) · Frontiers in Medicine · doi:10.3389/fmed.2024.1342645 · Cited by 18
Zoua, E. P., Boulvain, M., & Dällenbach, P. (2021) · International Urogynecology Journal · doi:10.1007/s00192-021-04826-7 · Cited by 17
Automatic Plane of Minimal Hiatal Dimensions Extraction From 3D Female Pelvic Floor Ultrasound
Xia, W., Ameri, G., Fakim, D., Akhuanzada, H., Raza, M. Z., Shobeiri, S. A., McLean, L., & Chen, E. C. S. (2022) · IEEE Transactions on Medical Imaging · doi:10.1109/tmi.2022.3199968 · Cited by 17
Xu, Z., Chen, N., Wang, B., Yang, J., Liu, H., Zhang, X., Li, Y., Liu, L., & Wu, Y. (2022) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2022.111399 · Cited by 17
Wójcik, M., Jarząbek‐Bielecka, G., Merks, P., Plagens-Rotman, K., Pisarska-Krawczyk, M., Kędzia, W., Mizgier, M., & Wilczak, M. (2022) · Ginekologia Polska · doi:10.5603/gp.a2022.0136 · Cited by 21
Post-cystectomy Enterocele: A Case Series and Review of the Literature
Cruz, A. P., Chelluri, R. R., Ramchandani, P., Guzzo, T. J., & Smith, A. L. (2020) · Urology · doi:10.1016/j.urology.2020.03.063 · Cited by 17
Saltiel, F., Miranda-Gazzola, A. P. G., Vitória, R. O., & Figueiredo, E. M. (2018) · Physical Therapy · doi:10.1093/ptj/pzy084 · Cited by 15
Gilyadova, A., Ищенко, А. И., Puchkova, E. N., Mershina, E. A., Petrovichev, V. S., & Reshetov, I. V. (2023) · Biomedicines · doi:10.3390/biomedicines11102849 · Cited by 14
Pelvic incidence: A study of a spinopelvic parameter in MRI evaluation of pelvic organ prolapse
Liu, T., Hou, X., Xie, B., Wu, J., Yang, X., Sun, X., & Wang, J. (2020) · European Journal of Radiology · doi:10.1016/j.ejrad.2020.109286 · Cited by 14
Long-Term Outcomes (10 Years) of Sacrospinous Ligament Fixation for Pelvic Organ Prolapse Repair
Vigna, A., Barba, M., & Frigerio, M. (2024) · Healthcare · doi:10.3390/healthcare12161611 · Cited by 13
Koyuncu, A., Kadota, J. L., Mnyippembe, A., Njau, P. F., Sijali, T. R., McCoy, S. I., Bates, M., Adamson, C. H., & Prata, N. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18031279 · Cited by 12
Advances in vaginal bioengineering: Applications, techniques, and needs
Buchanan, L. M., Domingo, M. J. E., White, S. E., Vanoven, T. N., Karbasion, N., Bersi, M. R., Pence, I. J., Rodriguez, M. E. F., & Miller, K. S. (2023) · Current Research in Physiology · doi:10.1016/j.crphys.2023.100111 · Cited by 10
Nemeth, Z., Kolumbán, S., Schmidt, R., Gubas, P., Kovács, K. A., & Farkas, B. (2022) · International Urogynecology Journal · doi:10.1007/s00192-022-05287-2 · Cited by 11
Rotstein, E., Ullemar, V., Engberg, H., Hirschberg, A. L., Ajne, G., & Tegerstedt, G. (2023) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/aogs.14666 · Cited by 10
Surgery for Anterior Compartment Vaginal Prolapse
Amin, K. A., & Lee, U. J. (2018) · Urologic Clinics of North America · doi:10.1016/j.ucl.2018.08.008 · Cited by 10
Yi, Y., Wang, L., Li, S., Li, B., Liu, C., & Hong, L. (2020) · International Urogynecology Journal · doi:10.1007/s00192-019-04212-4 · Cited by 10
Clinical Risk Factors for Uterine Cervical Elongation among Women with Pelvic Organ Prolapse
Liu, Y., Wang, C., Loo, Z.-X., Lin, K., & Long, C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18179255 · Cited by 9
Aboseif, C., & Liu, P. (2021) · StatPearls · Cited by 9
Anatomy, Abdomen and Pelvis, Bones (Ilium, Ischium, and Pubis)
Wobser, A. M., Adkins, Z., & Wobser, R. W. (2018) · StatPearls · Cited by 9
Anterior Colporrhaphy and Paravaginal Repair for Anterior Compartment Prolapse: A Review
Tsui, W. L., & Ding, D. (2024) · Medicina · doi:10.3390/medicina60111865 · Cited by 8
Pelvic floor muscle injury during a difficult labor. Can tissue fatigue damage play a role?
Pouca, M. C. P. V., Parente, M., Jorge, R. N., DeLancey, J. O. L., & Ashton‐Miller, J. A. (2021) · International Urogynecology Journal · doi:10.1007/s00192-021-05012-5 · Cited by 8
Self-citationMasteling, M., Ashton‐Miller, J. A., & DeLancey, J. O. L. (2018) · International Urogynecology Journal · doi:10.1007/s00192-018-3704-5 · Cited by 8
Self-citationDora, B. T., Kassa, Z. Y., Hadra, N., Birie, B., & Esayas, H. L. (2022) · BMC Women s Health · doi:10.1186/s12905-022-01890-z · Cited by 8
Liu, Z., Tang, Y., Liu, J., Shi, R., Houston, M., Muñoz, A., Zhang, Y., & Li, X. (2022) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2022.10.004 · Cited by 7
Huang, L., Guo, M., Sha, L.-X., Chen, C., Lin, X., & Dong, X.-X. (2023) · International Journal of Clinical Practice · doi:10.1155/2023/1489928 · Cited by 7
Laparoscopic and robot-assisted suture versus mesh hysteropexy: a retrospective comparison
Gopinath, D., Yong, C., Harding-Forrester, S., McIntyre, F., McKenzie, D. P., & Carey, M. (2022) · International Urogynecology Journal · doi:10.1007/s00192-022-05283-6 · Cited by 7
Błudnicka, M., Piernicka, M., Kortas, J. A., Bojar, D., Duda-Biernacka, B., & Szumilewicz, A. (2022) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2022.944792 · Cited by 7
Wen, L., & Zhou, Q. (2017) · Journal of Ultrasound in Medicine · doi:10.1002/jum.14445 · Cited by 8
Questions surrounding the optimal time for surgical treatment of pelvic organ prolapse
Dubinskaya, E. D., Gasparov, A. S., Александровна, Б. И., & Николаевна, К. С. (2019) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2019.01.017 · Cited by 7
Appelbaum, A. H., Tirandaz, M., Ricci, G., & D'Ancona, R. L. (2022) · Diagnostics · doi:10.3390/diagnostics12061428 · Cited by 6
Pelvic floor dysfunction in menopause: screening, evaluation and management
Misasi, G., Erkan, İ. B. Ö., Russo, E., Pisacreta, E., Fidecicchi, T., Guevara, M. M. M., & Simoncini, T. (2025) · Expert Review of Endocrinology & Metabolism · doi:10.1080/17446651.2025.2604552 · Cited by 6
Sawyer, P., Shi, H., Keller, P. W., Brown, S., & Rodriguez, M. E. F. (2023) · Aging Medicine · doi:10.1002/agm2.12255 · Cited by 6
Kinno, K., Sekido, N., Takeuchi, Y., Sawada, Y., Watanabe, S., & Yoshimura, Y. (2021) · Scientific Reports · doi:10.1038/s41598-021-93143-6 · Cited by 6
Błudnicka, M., Piernicka, M., Kortas, J. A., Duda-Biernacka, B., & Szumilewicz, A. (2020) · Neurophysiology · doi:10.1007/s11062-021-09902-8 · Cited by 6
Szymański, J. K., Starzec‐Proserpio, M., Bartosińska-Raczkiewicz, D., Krawczyk, A., Kukulski, P., & Jakiel, G. (2023) · International Urogynecology Journal · doi:10.1007/s00192-023-05653-8 · Cited by 6
Pouca, M. C. P. V., Areias, P. M. D. A., Serdar Göktepe, A., Ashton‐Miller, J. A., Jorge, R. N., & Parente, M. (2022) · Journal of the Mechanics and Physics of Solids · doi:10.1016/j.jmps.2022.104908 · Cited by 6
Rehabilitation Therapies in Pelvic Floor Dysfunction for Women
Chen, J., & Luo, J. (2025) · Journal of Community Health Nursing · doi:10.1080/07370016.2025.2549814 · Cited by 5
Saputra, A. N. D., Rizal, D. M., Septiyorini, N., & Rahman, M. N. (2024) · International Urogynecology Journal · doi:10.1007/s00192-024-05953-7 · Cited by 5
Ko, Y. R., Lee, S. R., Kim, S.-H., & Chae, H. D. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10163751 · Cited by 5
Rocher, G., Azaïs, H., Favier, A., Uzan, C., Castela, M., Moawad, G., Lavoué, V., Morandi, X., Timoh, K. N., & Canlorbe, G. (2022) · Surgical and Radiologic Anatomy · doi:10.1007/s00276-022-02955-2 · Cited by 5
Self-care of vaginal pessary for pelvic organ prolapse: a systematic review and meta-analysis
Ruffolo, A. F., Lallemant, M., Marx-Deseure, A., Kerbage, Y., Rubod, C., & Cosson, M. (2024) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-024-07506-1 · Cited by 5
Using Z‐scores to evaluate levator hiatal dimensions with four‐dimensional translabial ultrasound
Wen, L., Zhang, J., Zeng, S., & Zhou, Q. (2017) · Journal of obstetrics and gynaecology research · doi:10.1111/jog.13454 · Cited by 5
Han, I., Choi, S. A., Kim, S. I., Choi, E. H., Lee, Y. J., & Kim, Y. (2021) · Cells · doi:10.3390/cells10102728 · Cited by 5
Pelvic organ prolapse: An unusual cause of small bowel obstruction
Wilkinson, K. H., Thomas, A., & Theobald, J. L. (2019) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2019.06.037 · Cited by 5
Lai, W., Wang, G., & Zhao, Z. (2025) · Academic Radiology · doi:10.1016/j.acra.2025.03.020 · Cited by 4
Trageser, N., Sauerwald, A., Ludwig, S., Malter, W., Wegmann, K., Karapanos, L., Radosa, J., Jansen, A. K., & Eichler, C. (2021) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-021-06344-9 · Cited by 4
Barca, J. A., Bravo, C., Larroca, S. G., Rodríguez, R. A., Moreno, J. M. P., Cueto-Hernández, I., Recarte, M. P. P., Álvarez‐Mon, M., Ortega, M. A., & León-Luis, J. A. D. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191811479 · Cited by 4
Moegni, F., & Wengkang, I. F. O. (2021) · Urogynaecologia · doi:10.4081/uij.2021.268 · Cited by 4
Martins, F. E., Cassim, F., Yatsina, O., & Adlam, J. (2023) · Springer eBooks · doi:10.1007/978-3-031-19598-3_55 · Cited by 4
Tai, H., Pipitone, F., Kalayeh, K., LaCross, J. A., Ashton‐Miller, J. A., DeLancey, J. O. L., & Fowlkes, J. B. (2025) · Ultrasound in Medicine & Biology · doi:10.1016/j.ultrasmedbio.2025.08.024 · Cited by 3
Self-citationGhanbari, Z., Veisi, F., Eftekhar, T., Deldar, M., Mostaan, F., & Adabi, K. (2023) · Taiwanese Journal of Obstetrics and Gynecology · doi:10.1016/j.tjog.2022.09.008 · Cited by 3
Martins, F. E., Cassim, F., Yatsina, O., & Adlam, J. (2023) · Springer eBooks · doi:10.1007/978-3-030-71112-2_55-1 · Cited by 3
Postpartum Changes in Levator Plate Shape and Genital Hiatus Size After Vaginal Delivery
Schmidt, P., Swenson, C. W., DeLancey, J. O., & Chen, L. (2024) · International Urogynecology Journal · doi:10.1007/s00192-024-05813-4 · Cited by 3
Self-citationRapp, D. E., & Zillioux, J. M. (2024) · Urologic Oncology Seminars and Original Investigations · doi:10.1016/j.urolonc.2024.07.007 · Cited by 3
Risk factors for pelvic organ prolapse, a case-control study in a tertiary hospital in Iran
Sharifiaghdas, F., Narouie, B., Bojd, H. H., Dadpour, M., Rostaminejad, N., Amini, S. K. M., Torabinavid, P., Rouientan, H., Momeni, H., Radpour, N., et al. (2025) · Urologia Journal · doi:10.1177/03915603251316701 · Cited by 3
Pelvic Floor Dysfunction in the Transgender Patient: A Scoping Review
Hatanaka, L. M. D. S. S., Pereira, G. M. V., Lara, L. A. D. S., Ferreira, C. H. J., Juliato, C. R. T., & Brito, L. G. O. (2025) · International Urogynecology Journal · doi:10.1007/s00192-025-06294-9 · Cited by 2
3D MRI Biomarkers for Predicting Pelvic Organ Prolapse Risk and Severity
Bai, H., Shen, L., Sun, X., Fu, J., Liu, P., & Chen, C. (2025) · International Urogynecology Journal · doi:10.1007/s00192-025-06338-0 · Cited by 2
Lafond, C., Hohnadel, L., Brunel, T., Pirró, N., Bellemare, M., Chamoret, D., & Roth, S. (2025) · Medical Engineering & Physics · doi:10.1016/j.medengphy.2025.104433 · Cited by 2
Park, Y., Zhang, H.-S., & Bai, S. W. (2026) · npj Digital Medicine · doi:10.1038/s41746-026-02431-w · Cited by 2
The role of hydrodissection in native tissue repair of anterior vaginal wall defects
Schwarzman, P., Samueli, B., Shaco‐Levy, R., Baumfeld, Y., Leron, E., & Weintraub, A. Y. (2021) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/ajo.13431 · Cited by 2
The association between levator plate integrity and pelvic floor defaecatory dysfunction
Hainsworth, A. J., Solanki, D., Ferrari, L., Igbedioh, C., Johnston, L., Morris, S. J., Igualada‐Martinez, P., Schizas, A. M. P., & Williams, A. B. (2023) · Neurourology and Urodynamics · doi:10.1002/nau.25119 · Cited by 2
Gubarkova, E. V., Potapov, A. L., Moiseev, A. A., Kiseleva, E. B., Krupinova, D., Shatilova, K. V., Karabut, M. M., Khlopkov, A., Loginova, M. M., Radenska-Lopovok, S. G., et al. (2023) · Diagnostics · doi:10.3390/diagnostics13223487 · Cited by 2
Martin, L., Hadizadeh, A., Chill, H. H., Badr, D., Abramowitch, S. D., & Rostaminia, G. (2025) · International Urogynecology Journal · doi:10.1007/s00192-025-06101-5 · Cited by 2
Investigating antenatal pelvic floor training using a vaginal balloon device in Czech women
Fousek, K., Mrkvova, K., Branna, T., & Ozana, M. (2023) · British Journal of Midwifery · doi:10.12968/bjom.2023.31.2.82 · Cited by 2
Cooper, E. A., Singh, S., Yates, C., Hodgkinson, J., Cunningham, C., & Lindsey, I. (2025) · Techniques in Coloproctology · doi:10.1007/s10151-024-03093-0 · Cited by 2
Post-operative outcomes associated with anterior mesh location after laparoscopic sacrocolpopexy
Habib, N., Giorgi, M., Tahtouh, T., Hamdi, A., Centini, G., Cannoni, A., & Bader, G. (2024) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-024-07719-4 · Cited by 2
QUALIDADE DE VIDA: DEFINIÇÃO E MENSURAÇÃO
César, F. C. R., Marcos, M. S. D. S., de Deus, B. S., SIRIANO, I. R., Pessoa, G. C. D. C., Cintra, M. P. C., Rodrigues, D. B., Machado, P. V. M., Alves, Â. G., & Oliveira, L. M. D. A. C. (2022) · doi:10.22533/at.ed.55622220910 · Cited by 1
Watanabe, S., Kinno, K., Takeuchi, Y., Sawada, Y., & Sekido, N. (2023) · LUTS Lower Urinary Tract Symptoms · doi:10.1111/luts.12506 · Cited by 1
Mastronardi, M., Raimondo, D., Mabrouk, M., Raffone, A., Giorgi, M., Centini, G., Zupi, E., Seracchioli, R., Maletta, M., Ratti, S., et al. (2024) · Facts Views and Vision in ObGyn · doi:10.52054/fvvo.16.2.023 · Cited by 1
Nemeth, Z., Vida, P., Markovic, P., Gubas, P., Kovács, K. A., & Farkas, B. (2024) · International Urogynecology Journal · doi:10.1007/s00192-024-05882-5 · Cited by 1
Voiding urodynamics parameters for women with and without symptomatic pelvic organ prolapse
Martins, J. T. C., Marquini, G. V., de Abreu, L. A. X., Bella, Z. I. K. D. J. D., & Sartori, M. G. F. (2025) · Revista Brasileira Ginecologia e Obstetrícia · doi:10.61622/rbgo/2025rbgo52 · Cited by 1
Lo, T., Rellora, L. E., Rom, E., Hsieh, W., Yang, C., & Ro, A. (2025) · International Urogynecology Journal · doi:10.1007/s00192-025-06298-5 · Cited by 1
Saldanha, C. (2022) · Physician Assistant Clinics · doi:10.1016/j.cpha.2022.03.003 · Cited by 1
Zou, J., Liu, Y., Xue, A., Sun, X., & Zhang, Y. (2022) · International Journal of Diabetes & Metabolic Disorders · doi:10.33140/ijdmd.07.01.15 · Cited by 1
Genetic predictors of pelvic organs prolapse in women: versions and contraversions
Grechkanev, G. O., Avetisyan, E. A., Васильевна, С. О., Babin, Y. Y., Николаевич, Н. Н., Avetisyan, S. M., Suchilin, D. N., & Beloglazov, V. K. (2022) · Russian Bulletin of Obstetrician-Gynecologist · doi:10.17116/rosakush20222204155 · Cited by 1
Total pelvic organ prolapses and its surgery with meses: Adventure or cure?
Doğan, S., Demırbaş, S., Tulunay, G., & Kaymak, Ş. (2022) · MOJ Women s Health · doi:10.15406/mojwh.2022.11.00302 · Cited by 1
El-Gohary, T., Hamed, S. T., El-Azizi, H., Haggag, H. M., & Azzam, H. (2024) · The Egyptian Journal of Radiology and Nuclear Medicine · doi:10.1186/s43055-024-01235-w · Cited by 1
Forner, L. B., Cyr, M., Hodges, P. W., & Smith, M. D. (2024) · Continence Reports · doi:10.1016/j.contre.2024.100055 · Cited by 1
Ignjatović, I., Potić, M., Bašić, D., Dinić, L., & Skakić, A. (2020) · International Urogynecology Journal · doi:10.1007/s00192-020-04519-7 · Cited by 1
Zuo, N., Dong, S., Li, D., Zhang, N., & Wang, X. (2022) · Journal of Assisted Reproduction and Genetics · doi:10.1007/s10815-022-02657-z · Cited by 1
Effects of Pelvic Organ Prolapse on the Bladder
Jaunarena, J. H., Kowalik, C. G., Delpe, S. D., Kaufman, M. R., Dmochowski, R. R., & Reynolds, W. M. (2018) · Current Bladder Dysfunction Reports · doi:10.1007/s11884-018-0473-4
Metadata
- Authors
- DeLancey, J. O. L.
- Affiliations
- Women's Hospital (US)
- Corresponding author
- DeLancey, John O.L.
- ORCID
- DeLancey, John O.L.
- Venue
- Current Opinion in Obstetrics & Gynecology
- Published
- 2016-10
- Volume
- 28
- Issue
- 5
- Pages
- 420-429
- ISSN
- 1040-872X (ISSN-L)
- 1473-656X
- PMC
- PMC5347042
- OpenAlex
- W2509938651
- Cited by
- 159
- References
- 48
- Citations by year
- 2026: 12 · 2025: 26 · 2024: 22 · 2023: 24 · 2022: 29 · 2021: 20 · 2020: 10 · 2019: 9 · 2018: 5 · 2017: 2
- FWCI
- 0.85
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Current Opinion in Obstetrics & Gynecology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Child Health and Human Development
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD038665, P50HD044406)
- Topics
- Health Sciences › Medicine › Urology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy-related medical research
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Keywords
- pelvic organ prolapse, levator ani muscle, pelvic connective tissue, cardinal ligament, uterosacral ligament, ligament length, ligament stiffness
- MeSH terms
- Biomechanical Phenomena, Elasticity, Female, Humans, Ligaments, Uterus, Vagina, Viscosity, Pelvic Floor, Pelvic Organ Prolapse
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
