IMR Press / CEOG / Volume 42 / Issue 3 / DOI: 10.12891/ceog2016.2015

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
Possible role of perineal ultrasound in the diagnosis of cystocele
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1 Department of Woman, Child and of General and Specialized Surgery, Second University of Naples, Naples
2 Institute of Radiology, Second University of Naples, Naples
3 Department of Gynaecology and Obstetrics, S. Leonardo Hospital, Castellammare di Stabia, Naples (Italy)
Clin. Exp. Obstet. Gynecol. 2015, 42(3), 321–326; https://doi.org/10.12891/ceog2016.2015
Published: 10 June 2015
Abstract

Objective: Perineal ultrasound has not yet been adequately evaluated in relation to the diagnosis of anatomical descensus of pelvic organs. Therefore, the aim of the present study was to assess whether it is possible to carry out a topographical comparison between bladders in normal seat and prolapsed ones and to quantify the extent of descensus. Materials and Methods: The authors selected 140 women, divided into three groups (two control groups and one case group). All patients underwent urogynaecological examination, according to the Pelvic Organ Prolapse Quantification (POP-Q), and perineal ultrasound to evaluate pubo-bladder distance. Results: Considering the data recorded in the two control groups, the authors established the physiological pubo-bladder distance between 27-33 mm at rest and 25-30 mm under stress. In the group with cystocele, the pubo-bladder distance was significantly lower: 20 mm at rest and three mm under stress (mean value). The authors also performed a classification of ultrasound cystocele in four stages, in accordance with clinical staging. Conclusions: In conclusion, the present data show the excellent potential role of perineal ultrasound in the diagnosis of cystocele, but it is necessary to perform randomized studies to standardize the method.
Keywords
Perineal ultrasound
Cystocele
Pubo-bladder distance
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