E-Posters-10109

10109_Sardi

Pdf Summary

This study aimed to investigate the relationship between cystocele (a type of pelvic organ prolapse) and levator ani muscle (LAM) avulsion using a transperineal 4D ultrasound. The results showed that out of 313 patients, 64 (20.4%) had LAM avulsion, with 27 of them (42%) also having cystocele. On the other hand, 249 patients (79.6%) did not have LAM avulsion, and 39 of them (15.6%) had cystocele. The odds ratio for the presence of cystocele in patients with LAM avulsion was 3.9, indicating a significant association between the two conditions. The study concluded that there is a clear association between LAM avulsion and the occurrence of cystocele, as observed through pelvic floor transperineal 4D ultrasound.<br /><br />The study included a retrospective analysis of 313 patients who underwent pelvic floor transperineal 4D ultrasound. All patients had symptoms of pelvic floor dysfunction. The ultrasound scans were performed in the supine position and included assessment during rest, maximum Valsalva maneuver (VM), and maximal contraction (MC) of the pelvic floor muscles. Cystocele was determined based on a sagittal section of the bladder descending 10mm or more below the symphysis pubis during VM. LAM avulsion was diagnosed when there was a clear anomaly in the LAM or a uretra-levator gap greater than 25mm at the three central sections of the minimum hiatal diameters.<br /><br />In summary, this study found a significant association between LAM avulsion and cystocele using transperineal 4D ultrasound. The findings contribute to a better understanding of the underlying mechanisms of pelvic floor dysfunction and may help improve the surgical correction of these conditions, which currently has a high failure rate.

Keywords

cystocele

pelvic organ prolapse

levator ani muscle

LAM avulsion

transperineal 4D ultrasound

patients

odds ratio

association

pelvic floor dysfunction

surgical correction