Levator contraction strength and genital hiatus as risk factors for recurrent pelvic organ prolapse.
Publication/Presentation Date
5-1-2005
Abstract
OBJECTIVE: To correlate levator ani contraction strength and genital hiatus measurements with surgical failure in prolapse.
STUDY DESIGN: This retrospective study involved chart review for documentation of levator contraction strength, genital hiatus measurement, and recurrent pelvic floor disorders in women who underwent surgery for prolapse.
RESULTS: The recurrent prolapse rate was 34.6%. Median follow-up interval was 5 months. Diminished levator strength was associated with recurrent prolapse (35.8% versus 0%; P = .017). A genital hiatus 5 cm or greater was associated with recurrent prolapse (44.2% vs 27.8%; P = .034). Inability to contract the levator ani was associated with urinary incontinence (35.1% vs 18.8%; P = .023). Increasing levator contraction strength was associated with a decreased reoperation rate for pelvic floor disorders, whereas genital hiatus correlated best with recurrent prolapse.
CONCLUSION: Diminished levator ani contraction strength and a widened genital hiatus correlate with an increase in surgical failures in the early postoperative period. These tools are useful for counseling a patient concerning surgery for prolapse.
Volume
192
Issue
5
First Page
1592
Last Page
1598
ISSN
0002-9378
Published In/Presented At
Vakili, B., Zheng, Y. T., Loesch, H., Echols, K. T., Franco, N., & Chesson, R. R. (2005). Levator contraction strength and genital hiatus as risk factors for recurrent pelvic organ prolapse. American journal of obstetrics and gynecology, 192(5), 1592–1598. https://doi.org/10.1016/j.ajog.2004.11.022
Disciplines
Medicine and Health Sciences
PubMedID
15902163
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article