Correlation between pelvic floor four-dimensional ultrasound parameters and POP-Q score

Abstract

Background

Pelvic organ prolapse (POP) is a prevalent ailment that lowers a woman's quality of life and for which precise diagnosis techniques are required for successful treatment. Advanced imaging techniques may be beneficial for traditional clinical assessments like the Pelvic Organ Prolapse Quantification (POP-Q) system.

Objectives

The purpose of this study was to look into the relationship between the POP-Q score and four-dimensional pelvic floor ultrasonography parameters in women who have been diagnosed with pelvic organ prolapse.

Methods

We included 120 female patients who presented with symptoms consistent with pelvic floor dysfunction. Pelvic cancers, a history of hysterectomy, and the incapacity to execute Valsalva maneuvers were among the exclusion criteria. The pelvic floor was imaged in three dimensions using a color Doppler ultrasonography equipment (GE, Voluson E8 Edition) both at rest and during Valsalva maneuvers. Important variables, such as the posterior bladder angle and bladder neck distance, were examined and contrasted with POP-Q evaluations.

Results

According to the study, an ultrasonography was used to detect Green II prolapse in 63 individuals and Green III prolapse in 57 patients. The ultrasonography results and clinical POP-Q diagnosis agreed rather well (Kappa = 0.572). Furthermore, there was a substantial association found between the four-dimensional ultrasound characteristics and the POP-Q stages, suggesting that ultrasonography is a useful tool for visualizing pelvic floor structures.

Conclusions

According to the results, four-dimensional ultrasonography has a strong correlation with the POP-Q score and is a useful method for evaluating pelvic floor dysfunction. This imaging modality advances our knowledge of the dynamics of the pelvic floor and might lead to more accurate diagnoses for female patients with prolapsed pelvic organs.