Document Detail


The correlation of urethral mobility and point Aa of the pelvic organ prolapse quantification system before and after surgery.
MedLine Citation:
PMID:  17014817     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of the study was to determine the effects of pelvic floor surgery on Q-tip angle and point Aa of the pelvic organ prolapse quantification system. STUDY DESIGN: A clinical database was used for this retrospective review of Q-tip and prolapse measurements before and after pelvic floor surgery. Subanalyses of isolated bladder neck and prolapse surgeries were also performed. Correlations between Q-tip and point Aa were assessed with Pearson and Spearman coefficients and the Z statistic. RESULTS: Correlations between Q-tip and point Aa for all 350 women were not significantly different before and after the operation (r = 0.45 vs 0.49; P = .50). Subanalysis of the bladder neck-only group demonstrated similarly fair correlations (r = 0.26 vs 0.31; P = .71; n = 94). The prolapse-only group demonstrated better overall correlation without significant differences before and after the operation (r = 0.78 vs 0.51; P = .10; n = 26). CONCLUSION: Point Aa does not reflect bladder neck mobility accurately as measured by the Q-tip angle after surgical restoration of the pelvic anatomy.
Authors:
Marcus Rosencrantz; Shawn A Menefee; Emily S Lukacz
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Publication Detail:
Type:  Journal Article     Date:  2006-10-02
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  195     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-29     Completed Date:  2006-12-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1841-5     Citation Subset:  AIM; IM    
Affiliation:
University of California San Diego Medical Center, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Databases, Factual
Female
Gynecologic Surgical Procedures*
Humans
Middle Aged
Pelvic Floor / surgery
Postoperative Period
Retrospective Studies
Urethra / physiopathology*
Urinary Bladder / physiopathology
Uterine Prolapse / diagnosis,  physiopathology*,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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