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Comparison between the Valsalva maneuver and intraoperative traction measurements in pelvic organ prolapse assessment.

Doumouchtsis, SK; Gauthaman, N; Khunda, A; Basu, M; Dadhwal, K; Gayle, YV; Durnea, CM (2017) Comparison between the Valsalva maneuver and intraoperative traction measurements in pelvic organ prolapse assessment. Int J Gynaecol Obstet, 139 (3). pp. 358-362. ISSN 1879-3479 https://doi.org/10.1002/ijgo.12319
SGUL Authors: Doumouchtsis, Stergios

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Abstract

OBJECTIVE: To compare the assessment of pelvic organ prolapse (POP) between the Pelvic Organ Prolapse Quantification (POP-Q) system with Valsalva maneuver and intraoperative measurement with mechanical traction. METHODS: A prospective observational study included 100 women with POP attending a tertiary urogynecology clinic in the UK and undergoing vaginal prolapse surgical procedures between October 2011 and October 2014. The women were examined in the clinic using POP-Q with the Valsalva maneuver and in the operating theater under general anesthesia with mechanical traction. The two sets of measurements were compared. RESULTS: All POP-Q measurements obtained with traction demonstrated significantly higher descent as compared with those measured by Valsalva maneuver (mean differences: Aa 0.64 cm; Ap 1.32 cm; Ba 0.96 cm; Bp 1.34 cm; C 3.57 cm; D 3.40 cm; all P<0.001). The perineal body and total vaginal lengths did not differ significantly. CONCLUSION: Measurements of six POP-Q points obtained with traction showed a higher grade of POP than those assessed with Valsalva maneuver. On this basis, surgeons might decide on the extent of surgical procedure after examination under anesthesia; however, preoperative patient counselling would be essential to obtain consent for this approach. The clinical significance of the findings requires further evaluation.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Doumouchtsis, S. K., Gauthaman, N. , Khunda, A. , Basu, M. , Dadhwal, K. , Gayle, Y. V. and Durnea, C. M. (2017), Comparison between the Valsalva maneuver and intraoperative traction measurements in pelvic organ prolapse assessment. Int J Gynecol Obstet, 139: 358-362, which has been published in final form at https://doi.org/10.1002/ijgo.12319. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Keywords: Difference, Measurement, POP-Q, Traction, Valsalva maneuver, Adult, Female, Humans, Intraoperative Care, Middle Aged, Pelvic Floor, Pelvic Organ Prolapse, Pelvimetry, Perineum, Prospective Studies, Traction, Vagina, Valsalva Maneuver, Pelvic Floor, Perineum, Vagina, Humans, Valsalva Maneuver, Pelvimetry, Intraoperative Care, Traction, Prospective Studies, Adult, Middle Aged, Female, Pelvic Organ Prolapse, 1114 Paediatrics And Reproductive Medicine, Obstetrics & Reproductive Medicine
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE)
Academic Structure > Institute of Medical & Biomedical Education (IMBE) > Centre for Clinical Education (INMECE )
Journal or Publication Title: Int J Gynaecol Obstet
ISSN: 1879-3479
Language: eng
Dates:
DateEvent
6 November 2017Published
27 September 2017Published Online
6 September 2017Accepted
Publisher License: Publisher's own licence
PubMed ID: 28884810
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/110878
Publisher's version: https://doi.org/10.1002/ijgo.12319

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