E-Posters-Assessment of the Perineal Body Anatomy before and after Posterior Colporrhaphy (with a perineorrhaphy)

Assessment of the Perineal Body Anatomy before and after Posterior Colporrhaphy (with a perineorrhaphy) - Vik Khullar, MD, FRCOG, BSc, AKC, MBBS

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The objective of this study was to assess the changes in perineal body anatomy before and after posterior colporrhaphy, which is a surgical procedure to correct pelvic organ prolapse. The assessment was done through clinical examination and ultrasound scanning.<br /><br />The results showed that posterior colporrhaphy significantly increased the size of the perineal body. The measurement of the perineal body using POP-Q (Pelvic Organ Prolapse Quantification) and ultrasound showed significant changes after the surgery. The genital hiatus, which is the opening of the vagina, was significantly reduced and the vagina itself became shorter after correction of the prolapse.<br /><br />The study employed POP-Q and 2D ultrasound assessment before and after the surgery. The values obtained pre-operatively and post-operatively were compared using a t-test.<br /><br />The findings demonstrated that all the parameters of the POP-Q, including perineal body length, height, and area, changed significantly after the surgery. The ultrasound measurements of the perineal body also showed statistically significant differences between the pre-operative and post-operative values.<br /><br />In summary, this study revealed that posterior colporrhaphy leads to an increase in the size of the perineal body and a reduction in the genital hiatus and vaginal length. These findings provide valuable insights into the anatomical changes that occur after this surgical procedure and may have implications for the management of pelvic organ prolapse.

Keywords

perineal body anatomy

posterior colporrhaphy

pelvic organ prolapse

clinical examination

ultrasound scanning

POP-Q

genital hiatus

vaginal length

anatomical changes

management of pelvic organ prolapse