Diagnostic utility of translabial ultrasound in pelvic organ prolapse: a prospective observational study
Background The increasing awareness of women’s health issues, specifically pelvic organ prolapse (POP) and urinary incontinence (UI), has spurred a surge in patients seeking specialised advice for these conditions, necessitating modern diagnostic approaches for such issues. This study explored the d...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2024-12-01
|
| Series: | Journal of Obstetrics and Gynaecology |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/01443615.2024.2386975 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841553130801594368 |
|---|---|
| author | Milosz Pietrus Kazimierz Pityński Iwona Gawron Maciej W. Socha Krzysztof Nowosielski Robert Biskupski-Brawura-Samaha Marcin Waligóra |
| author_facet | Milosz Pietrus Kazimierz Pityński Iwona Gawron Maciej W. Socha Krzysztof Nowosielski Robert Biskupski-Brawura-Samaha Marcin Waligóra |
| author_sort | Milosz Pietrus |
| collection | DOAJ |
| description | Background The increasing awareness of women’s health issues, specifically pelvic organ prolapse (POP) and urinary incontinence (UI), has spurred a surge in patients seeking specialised advice for these conditions, necessitating modern diagnostic approaches for such issues. This study explored the diagnostic utility of translabial ultrasound for POP, emphasising its correlation with clinical assessments based on International Continence Society (ICS) criteria.Methods Seventy-one patients with POP Quantification System (POP-Q) stage 0-IV with or without UI were prospectively enrolled at Jagiellonian University Medical College between 2014 and 2016. The study objectives included evaluating diagnostic accuracy and concordance across pelvic compartments, correlating the diagnoses with patient-reported symptoms, and identifying variables contributing to diagnostic discrepancies.Results Translabial ultrasound identified POP in 74.5% of the patients, aligning closely with clinical evaluations. Concordance was the highest in assessments performed in the medial compartment (85.8%), while assessments performed in the anterior (29.6%) and posterior (29.6%) compartments showed higher rates of discrepancies. Correlation analyses showed varying associations, with the posterior compartment exhibiting the least pronounced correlation (R = 0.72, p < 0.0001). Self-perceive POP showed no discernible differences in relation to ultrasonographic and clinical assessments. Among the respondents, 55.9% reported experiencing the sensation of POP. Mean POP levels determined using the two approaches precisely matched in 46.5% of these cases. Discrepancies involved variables such as self-perceived POP, number of deliveries, child weight at birth, UI, and sexual activity.Conclusions Translabial ultrasound showed robust correlation with clinical assessments for evaluating POP, especially for defining defects and facilitating treatment-related decision-making. Our findings highlight the reliability of this method, particularly for assessments in the medial compartment. The evidence did not indicate the superiority of either method in detecting POP disorders for symptomatic versus asymptomatic patients. Significantly, a higher POP-Q measurement in clinical examination was correlated with greater sexual activity. |
| format | Article |
| id | doaj-art-199e92ff3514407bb970d0bfa56d5420 |
| institution | Kabale University |
| issn | 0144-3615 1364-6893 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Obstetrics and Gynaecology |
| spelling | doaj-art-199e92ff3514407bb970d0bfa56d54202025-01-09T12:13:18ZengTaylor & Francis GroupJournal of Obstetrics and Gynaecology0144-36151364-68932024-12-0144110.1080/01443615.2024.2386975Diagnostic utility of translabial ultrasound in pelvic organ prolapse: a prospective observational studyMilosz Pietrus0Kazimierz Pityński1Iwona Gawron2Maciej W. Socha3Krzysztof Nowosielski4Robert Biskupski-Brawura-Samaha5Marcin Waligóra6Faculty of Medicine, Department of Gynecology and Obstetrics, Clinic of Gynecology and Oncology, Jagiellonian University Medical College, Kraków, PolandFaculty of Medicine, Department of Gynecology and Obstetrics, Clinic of Gynecology and Oncology, Jagiellonian University Medical College, Kraków, PolandJagiellonian University Medical College, Faculty of Medicine, Department of Gynecology and Obstetrics, Clinic of Gynecological Endocrinology, Kraków, PolandDepartment of Perinatology, Gynecology and Gynecologic Oncology, Faculty of Health Sciences, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Bydgoszcz, PolandDepartment of Obstetrics and Gynecology, University Clinical Center, Faculty of Medical Sciences, Medical University of Silesia, Katowice, PolandDepartment of Obstetrics, Perinatology and Neonatology, Center for Postgraduate Medical Education, Warsaw, PolandPulmonary Circulation Centre, Department of Cardiac and Vascular Diseases, Faculty of Medicine, Jagiellonian University Medical College, John Paul II Hospital in Kraków, Kraków, PolandBackground The increasing awareness of women’s health issues, specifically pelvic organ prolapse (POP) and urinary incontinence (UI), has spurred a surge in patients seeking specialised advice for these conditions, necessitating modern diagnostic approaches for such issues. This study explored the diagnostic utility of translabial ultrasound for POP, emphasising its correlation with clinical assessments based on International Continence Society (ICS) criteria.Methods Seventy-one patients with POP Quantification System (POP-Q) stage 0-IV with or without UI were prospectively enrolled at Jagiellonian University Medical College between 2014 and 2016. The study objectives included evaluating diagnostic accuracy and concordance across pelvic compartments, correlating the diagnoses with patient-reported symptoms, and identifying variables contributing to diagnostic discrepancies.Results Translabial ultrasound identified POP in 74.5% of the patients, aligning closely with clinical evaluations. Concordance was the highest in assessments performed in the medial compartment (85.8%), while assessments performed in the anterior (29.6%) and posterior (29.6%) compartments showed higher rates of discrepancies. Correlation analyses showed varying associations, with the posterior compartment exhibiting the least pronounced correlation (R = 0.72, p < 0.0001). Self-perceive POP showed no discernible differences in relation to ultrasonographic and clinical assessments. Among the respondents, 55.9% reported experiencing the sensation of POP. Mean POP levels determined using the two approaches precisely matched in 46.5% of these cases. Discrepancies involved variables such as self-perceived POP, number of deliveries, child weight at birth, UI, and sexual activity.Conclusions Translabial ultrasound showed robust correlation with clinical assessments for evaluating POP, especially for defining defects and facilitating treatment-related decision-making. Our findings highlight the reliability of this method, particularly for assessments in the medial compartment. The evidence did not indicate the superiority of either method in detecting POP disorders for symptomatic versus asymptomatic patients. Significantly, a higher POP-Q measurement in clinical examination was correlated with greater sexual activity.https://www.tandfonline.com/doi/10.1080/01443615.2024.2386975Translabial ultrasoundpelvic organ prolapse |
| spellingShingle | Milosz Pietrus Kazimierz Pityński Iwona Gawron Maciej W. Socha Krzysztof Nowosielski Robert Biskupski-Brawura-Samaha Marcin Waligóra Diagnostic utility of translabial ultrasound in pelvic organ prolapse: a prospective observational study Journal of Obstetrics and Gynaecology Translabial ultrasound pelvic organ prolapse |
| title | Diagnostic utility of translabial ultrasound in pelvic organ prolapse: a prospective observational study |
| title_full | Diagnostic utility of translabial ultrasound in pelvic organ prolapse: a prospective observational study |
| title_fullStr | Diagnostic utility of translabial ultrasound in pelvic organ prolapse: a prospective observational study |
| title_full_unstemmed | Diagnostic utility of translabial ultrasound in pelvic organ prolapse: a prospective observational study |
| title_short | Diagnostic utility of translabial ultrasound in pelvic organ prolapse: a prospective observational study |
| title_sort | diagnostic utility of translabial ultrasound in pelvic organ prolapse a prospective observational study |
| topic | Translabial ultrasound pelvic organ prolapse |
| url | https://www.tandfonline.com/doi/10.1080/01443615.2024.2386975 |
| work_keys_str_mv | AT miloszpietrus diagnosticutilityoftranslabialultrasoundinpelvicorganprolapseaprospectiveobservationalstudy AT kazimierzpitynski diagnosticutilityoftranslabialultrasoundinpelvicorganprolapseaprospectiveobservationalstudy AT iwonagawron diagnosticutilityoftranslabialultrasoundinpelvicorganprolapseaprospectiveobservationalstudy AT maciejwsocha diagnosticutilityoftranslabialultrasoundinpelvicorganprolapseaprospectiveobservationalstudy AT krzysztofnowosielski diagnosticutilityoftranslabialultrasoundinpelvicorganprolapseaprospectiveobservationalstudy AT robertbiskupskibrawurasamaha diagnosticutilityoftranslabialultrasoundinpelvicorganprolapseaprospectiveobservationalstudy AT marcinwaligora diagnosticutilityoftranslabialultrasoundinpelvicorganprolapseaprospectiveobservationalstudy |