Can ballooning of the levator hiatus be determined clinically?

American Journal of Obstetrics and Gynecology

Volumn 206, Issue 3, 2012, Pages 246.e1-246.e4

  Khunda, Azar ^a   Shek, Ka Lai ^b,c   Dietz, Hans Peter ^b,c  

^a UNIVERSITY COLLEGE LONDON HOSPITALS   (United Kingdom)

^b UNIVERSITY OF SYDNEY   (Australia)

^c NEPEAN HOSPITAL   (Australia)

Author keywords

3 dimensional ultrasound; ballooning; levator hiatus; pelvic organ prolapse quantification system; translabial ultrasound

Indexed keywords

ADULT; CLINICAL ASSESSMENT TOOL; CONFERENCE PAPER; CROSS-SECTIONAL STUDY; DISEASE ASSOCIATION; FEMALE; HUMAN; LEVATOR HIATUS; MAJOR CLINICAL STUDY; PELVIC ORGAN PROLAPSE; PELVIC ORGAN PROLAPSE QUANTIFICATION SYSTEM; PELVIS; PERINEUM; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SENSITIVITY AND SPECIFICITY; ULTRASOUND; VALSALVA MANEUVER;

EID: 84857793324     PISSN: 00029378     EISSN: 10976868     Source Type: Journal    
DOI: 10.1016/j.ajog.2011.10.876     Document Type: Conference Paper

References (20)

1. H. Dietz, J. De Leon, K. Shek Ballooning of the levator hiatus Ultrasound Obstet Gynecol 31 2008 676 680
2. H. Dietz, K. Shek, B. Clarke Biometry of the pubovisceral muscle and levator hiatus by three-dimensional pelvic floor ultrasound Ultrasound Obstet Gynecol 25 2005 580 585
3. K.L. Shek, H.P. Dietz Intrapartum risk factors of levator trauma Br J Obstet Gynaecol 117 2010 1485 1492
4. H.P. Dietz, V. Lanzarone Levator trauma after vaginal delivery Obstet Gynecol 106 2005 707 712
5. A. Franco, K.L. Shek, A. Kirby, M.M. Fynes, H.P. Dietz Avulsion injury and levator hiatal ballooning: two independent risk factors for prolapse? 2011 Acta Obstet Gynecol Scand 2011 Nov 4 10.1111/j.1600-0412.2011.01315.x [Epub ahead of print]
6. H. Dietz Ultrasound imaging of the pelvic floor: 3D aspects Ultrasound Obstet Gynecol 23 2004 615 625
7. J.O. DeLancey, W.W. Hurd Size of the urogenital hiatus in the levator ani muscles in normal women and women with pelvic organ prolapse Obstet Gynecol 91 1998 364 368
8. C. Ghetti, W.T. Gregory, S.R. Edwards, L.N. Otto, A.L. Clark Pelvic organ descent and symptoms of pelvic floor disorders Am J Obstet Gynecol 193 2005 53 57
9. R.C. Bump, A. Mattiasson, K. Bo The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction Am J Obstet Gynecol 175 1996 10 17
10. A.F. Hall, J.P. Theofrastous, G.W. Cundiff Interobserver and intraobserver reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society pelvic organ prolapse classification system [see comments] American Urogynecologic Society pelvic organ prolapse classification system [see comments] 175 1996 1467 1470 discussion 1470
11. J. Yang, S. Yang, W. Huang Biometry of the pubovisceral muscle and levator hiatus in nulliparous Chinese women Ultrasound Obstet Gynecol 26 2006 710 716
12. I. Hoff Braekken, M. Majida, M. Ellstrom Engh, H.P. Dietz, W. Umek, K. Bo Test-retest and intra-observer reliability of two, three and four-dimensional perineal ultrasound of pelvic floor muscle anatomy and function Int Urogynecol J 19 2008 227 235
13. J.A. Kruger, S.W. Heap, B.A. Murphy, H.P. Dietz Pelvic floor function in nulliparous women imaged using 3D ultrasound and magnetic resonance imaging Obstet Gynecol 111 2008 631 638
14. A. Oerno, H. Dietz Levator co-activation is a significant confounder of pelvic organ descent on Valsalva maneuver Ultrasound Obstet Gynecol 30 2007 346 350
15. G. Blain, H.P. Dietz Symptoms of female pelvic organ prolapse: correlation with organ descent in women with single compartment prolapse Aust N Z J Obstet Gynaecol 48 2008 317 321
16. S. Athanasiou, S. Hill, C. Gleeson, K. Anders, L. Cardozo Validation of the ICS proposed pelvic organ prolapse descriptive system [abstract] Neurourol Urodynam 14 1995 414 415
17. B. Vakili, Y. Zheng, H. Loesch, K. Echols, N. Franco, R.R. Chesson Levator contraction strength and genital hiatus as risk factors for recurrent pelvic organ prolapse Am J Obstet Gynecol 192 2005 1592 1598
18. S. Swift, P. Woodman, A. O'Boyle Pelvic organ support study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects Am J Obstet Gynecol 192 2005 795 806
19. R.E. Gutman, D.E. Ford, L.H. Quiroz, S.H. Shippy, V.L. Handa Is there a pelvic organ prolapse threshold that predicts pelvic floor symptoms? Am J Obstet Gynecol 199 2008 683.e1 683.e7
20. H.P. Dietz, K.L. Shek, A. Korda Can the levator hiatus be reduced surgically? Ultrasound Obstet Gynecol 38 S1 2011 274