Does pelvic organ prolapse quantification exam predict urethral mobility in stages 0 and I prolapse?

被引：20

作者：

Noblett, K ^{[1
]}

Lane, FL ^{[1
]}

Driskill, CS ^{[1
]}

机构：

[1] Univ Calif Irvine, Med Ctr, Dept Obstet & Gynecol, Div Female Pelv Med & Reconstruct Surg, Orange, CA 92868 USA

来源：

INTERNATIONAL UROGYNECOLOGY JOURNAL | 2005年 / 16卷 / 04期

关键词：

Q-tip; POP-Q; prolapse; hypermobility;

D O I：

10.1007/s00192-005-1315-4

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To determine if women with anterior support stages 0 or I by pelvic organ prolapse quantification (POP-Q) system require Q-tip testing to assess urethral mobility. Methods: A prospective study of 134 women presenting for urogynecologic evaluation were examined and assigned stages of anterior wall support according to the POP-Q system. A Q-tip test was performed and urethral hypermobility was defined as a straining angle >= 30 degrees. The Spearman correlation coefficient was used to assess degree of correlation between POP-Q point Aa position and Q-tip values. Results: The correlation coefficient between point Aa position and Q-tip angle was r = 0.787 (P < 0.001). Urethral hypermobility was noted in 91% of stage I and 100% of stage II-IV patients. The positive predictive value of Q-tip angle >= 30 degrees in stage I-IV prolapse was 99%. Conclusion: The POP-Q system is highly predictive of straining urethral angle in all stages of prolapse.

引用

页码：268 / 271

页数：4

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