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