Definition of apical descent in women with and without ... - PLOS › publication › fulltext › Definition... › publication › fulltext › Definition...by G Trutnovsky · 2019 · Cited by 3 · Related articlesMar 15, 2019 — While normal pelvic organ support ha
Definition of apical descent in women with and without previous hysterectomy: A retrospective analysis Gerda Trutnovsky ID1,2*, Kristy P. Robledo3, Ka Lai Shek4, Hans Peter Dietz2 1 Department of Obstetrics and Gynaecology, Medical University of Graz, Graz, Austria, 2 Department of Obstetrics and Gynaecology, Nepean Clinical School, University of Sydney, Sydney, NSW, Australia, 3 NHMRC Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia, 4 Department of Obstetrics and Gynaecology, Liverpool Clinical School, Western Sydney University, Liverpool, NSW, Australia *
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Abstract Background While normal pelvic organ support has been defined for women with intact uterus, this is not the case for post- hysterectomy vault descent. A recent systematic review found that definitions of apical prolapse are highly variable.
Objectives
Citation: Trutnovsky G, Robledo KP, Shek KL, Dietz HP (2019) Definition of apical descent in women with and without previous hysterectomy: A retrospective analysis. PLoS ONE 14(3): e0213617. https://doi.org/10.1371/journal.pone.0213617
To investigate the relationship between prolapse symptoms and apical POP-Q measurements and establish cutoffs for ‘significant apical descent using receiver–operator characteristics (ROC) statistics.
Editor: Richard Kao Lee, Weill Cornell Medical College, UNITED STATES
Study design
Received: November 7, 2018 Accepted: February 25, 2019 Published: March 15, 2019 Copyright: © 2019 Trutnovsky et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement: All relevant data are within the paper. Funding: The authors received no specific funding for this work. Competing interests: The authors have declared that no competing interest exist.
Retrospective analysis of patients seen at a tertiary urogynecological unit. Evaluation included a standardized interview and clinical assessment using the Pelvic Organ Prolapse Quantification (POP-Q) system. ROC curves were prepared for the relationship between prolapse symptoms and POP-Q measure “C”.
Results The records of 3010 women were available for analysis. Prolapse symptoms were reported by 52.3% (n = 1573), with a mean bother of 5.9 (SD 3.0, range 0–10). POP-Q point “C” was associated with symptoms of prolapse (p
