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Pelvic Floor Biometry in Asymptomatic Primiparous Women Compared with Nulliparous Women: a Single-center Study in Southern China

Overview
Journal J Int Med Res
Publisher Sage Publications
Specialty General Medicine
Date 2020 May 1
PMID 32351146
Citations 3
Authors
Affiliations
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Abstract

Objective: This study aimed to investigate pelvic floor biometry of asymptomatic primiparous women compared with nulliparous women by using four-dimensional transperineal ultrasound (4D TPUS).

Methods: From July 2015 to February 2017, 722 women were enrolled and divided into the nulliparous group (n = 292), the vaginal delivery group (n = 272), and the elective cesarean section group (n = 158). The ultrasound parameters of 4D TPUS were compared among the groups.

Results: The vaginal delivery group had a significantly greater bladder neck descent (η = 0.04), retrovesical angles on Valsalva maneuver (η = 0.01), urethral rotation (η = 0.01), levator hiatus area on Valsalva maneuver (η = 0.02), urethral inclination angle (η = 0.02), and funneling of the proximal urethra (η = 0.11) than the other two groups. Comparison of the two modes of delivery (vaginal delivery and cesarean section) also showed significant differences in the above-mentioned ultrasound parameters.

Conclusion: There are significant differences in pelvic floor biometry between asymptomatic primiparous women and nulliparous women, as well as between women with vaginal delivery and those with elective cesarean section.

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PMID: 38236284 PMC: 11023953. DOI: 10.1007/s00192-023-05698-9.


Application of Transperineal Pelvic Floor Ultrasound in Changes of Pelvic Floor Structure and Function Between Pregnant and Non-Pregnant Women.

Xu Z, He H, Yu B, Jin H, Zhao Y, Zhou X Int J Womens Health. 2022; 14:1149-1159.

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Effects of Different Delivery Modes on Pelvic Floor Function in Parturients 6-8 Weeks after Delivery Using Transperineal Four-Dimensional Ultrasound.

Wang C, Wang Q, Zhao X, Wang X, Zhou W, Kang L Dis Markers. 2022; 2022:2334335.

PMID: 35634438 PMC: 9132696. DOI: 10.1155/2022/2334335.

References
1.
Vellucci F, Regini C, Barbanti C, Luisi S . Pelvic floor evaluation with transperineal ultrasound: a new approach. Minerva Ginecol. 2017; 70(1):58-68. DOI: 10.23736/S0026-4784.17.04121-1. View

2.
Abdool Z, Lindeque B, Dietz H . The impact of childbirth on pelvic floor morphology in primiparous Black South African women: a prospective longitudinal observational study. Int Urogynecol J. 2017; 29(3):369-375. DOI: 10.1007/s00192-017-3530-1. View

3.
Al-Saadi W . Transperineal ultrasonography in stress urinary incontinence: The significance of urethral rotation angles. Arab J Urol. 2016; 14(1):66-71. PMC: 4767782. DOI: 10.1016/j.aju.2015.11.003. View

4.
Falkert A, Willmann A, Endress E, Meint P, Seelbach-Gobel B . Three-dimensional ultrasound of pelvic floor: is there a correlation with delivery mode and persisting pelvic floor disorders 18-24 months after first delivery?. Ultrasound Obstet Gynecol. 2012; 41(2):204-9. DOI: 10.1002/uog.11214. View

5.
van Veelen G, Schweitzer K, van der Vaart C . Ultrasound imaging of the pelvic floor: changes in anatomy during and after first pregnancy. Ultrasound Obstet Gynecol. 2014; 44(4):476-80. DOI: 10.1002/uog.13301. View