Objective genital hiatus gh and perineal body pb are part of the pelvic organ prolapse quantification assessment system but it is unclear whether measurements should be taken at rest or on valsalva. The average perineal body length was 390 cm 070.
Quantification Of Pelvic Organ Prolapse In Mice Vaginal
Perineal body measurement. 2 cm and the height of the triangle 13 2 cm in 15 healthy women and 13 cadavers between ages 2695. The anterior vaginal wall and the cervix or vault are documented on the top row the posterior vaginal wall and the posterior fornix on the bottom row. The perineum is the region of the body between the pubic symphysis pubic arch and the coccyx tail bone including the perineal body and surrounding structures. Perineal body measurements were available for 133 57. A small perineal body was strongly associated with posterior compartment prolapse paired t test p 00001 and wider pop q gh paired t test p 00003. 3 the measurements were dependent on the body size age and weight.
After birth vaginal laceration oxytocin use fetal birth weight the presence of episiotomy were recorded. The perineum in humans is the space between the anus and scrotum in the male and between the anus and the vulva in the female. Perineal body measurements in 79 prolapse patients. In the control group the perineal body appeared to be like an upright right angled triangle in the mid sagittal plane. Methods retrospective chart review of all new patients seen in an academic urogynecology clinic between january 2007 and september 2011. A total of 234 patients met our inclusion criteria.
There is some variability in how the boundaries are defined. The perineal body is the meeting point of several superficial perineal muscles. This study was designed to assess the predictive value of gh and pb measurements obtained at rest and on valsalva for signs and symptoms of pelvic organ prolapse pop. Height 169 17 mm length 160 14 mm perimeter 65 05 mm and area 21 05 cm 2. Perineal body measurements in 79 prolapse patients. Height 1690mm 175 length 1597mm 141 perimeter 650mm 047 and area 81cm2 047.
The above measurements are recorded on a 3 3 grid. The descriptive measurements of the genital hiatus perineal body and total vaginal length at rest are recorded in the middle row. The presence and degree of perineal laceration after birth were determined. Correlation of perineal body pb measurements or pb changes over time δpb with pop q measurements 6 months postpartum after correction for the confounding variables of the corresponding antepartum pop q measurement maternal age and bmi at delivery birth weight of infant and length of the second stage of labor. Objectives this study aimed to describe the relationship between genital hiatus gh and perineal body pb measurements with increasing pelvic organ prolapse pop stage in a large cohort of women referred to urogynecology clinic for pelvic floor disorders. Correlation of genital hiatus and perineal body measurements with perineal laceration risk were evaluated.
Gallery of Perineal Body Measurement
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