E-Posters-Correlation of POPQ Points C and D with Cervical Width and Length in Hysterectomy Patients

Correlation of POPQ Points C and D with Cervical Width and Length in Hysterectomy Patients - Andrew McNaughton

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This study aimed to determine if there is a correlation between POPQ measurements of points C and D, as well as the distance between the two (D-C), with the pathology measurements of cervical length or width in women who had a total hysterectomy. The study included 108 patients who underwent hysterectomy for pelvic organ prolapse (POP). Linear regression analysis was performed to compare cervical length and width to the POPQ measurements, and common risk factors for prolapse were controlled for.<br /><br />The results showed that no measures, including POPQ points C, D, and D-C, were significantly associated with cervical length or width when controlling for age, vaginal parity, and apical POPQ stage. This suggests that the assumption that cervical length is best approximated by the POPQ examination measurements for points C and D is not supported by this study.<br /><br />The study findings were consistent with previous research, which also suggested that the distance between points C and D is not reflective of cervical length. It was noted that correctly identifying where to measure point D may be inconsistent and may affect the assessment of cervical length.<br /><br />Limitations of the study included a small sample size and the possibility that the distance between points C and D may better reflect a vector of length and width rather than one or the other.<br /><br />In conclusion, this study found no significant correlation between POPQ measurements and cervical length or width in women who had a hysterectomy for POP. The study highlights the need for further research to accurately assess cervical length and the implications of cervical elongation in surgical planning for POP.

Keywords

POPQ measurements

correlation

points C and D

distance (D-C)

pathology measurements

cervical length

cervical width

hysterectomy

pelvic organ prolapse

linear regression analysis