International Journal of Gynaecology Sciences

Vol. 2, Issue 1, Part A (2020)

Comparison between pelvic floor ultrasound and physical examination in the evaluation of cystocele

Author(s):

Patrícia Alves, Inês Sá, Yida Fan and Osvaldo Moutinho

Abstract:

The main aim of this study was to explore the agreement between physical examination and ultrasound findings in the assessment of cystocele. It was a prospective observational study of women with primary cystocele. It enrolled 54 patients who underwent an interview, physical examination and 2D/3D transperineal ultrasound. The study included two observers: one who conducted the interview and carried out the examination, and another who performed the transperineal ultrasound. There was a concordance of 51.8% between examination and ultrasound concerning cystocele grading. In paravaginal defects, the concordance was 46.3%. In 42.6% of the patients, the ultrasound yielded better results for diagnosing paravaginal defect than the physical examination. Ultrasound revealed that levator ani muscle avulsion was present in 60.4% of patients and hiatal ballooning in 69.8%. In conclusion, the main utility of transperineal ultrasound is the evaluation of levator ani muscle integrity and urogenital hiatus through the axial plane in 3D.

Pages: 01-04  |  1228 Views  531 Downloads

How to cite this article:
Patrícia Alves, Inês Sá, Yida Fan and Osvaldo Moutinho. Comparison between pelvic floor ultrasound and physical examination in the evaluation of cystocele. Int. J. Gynaecology Sci. 2020;2(1):01-04.
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