Abstract | INTRODUCTION AND HYPOTHESIS: This study aims to compare pre-operative Pelvic Organ Prolapse Quantification (POP-Q) point C with and without cervical traction to that obtained intra-operatively in women undergoing pelvic organ prolapse surgery and to assess acceptability of examination with cervical traction without anaesthesia. METHODS: Eighty-one women were randomised to having pre-operative examination with or without cervical traction to measure point C. Visual analogue scale (VAS) pain scores were recorded for each pre-operative examination. Comparisons were made between pre-operative and intra-operative findings. RESULTS: The mean difference between pre-operative and intra-operative point C in the non- traction group was statistically higher than in the traction group (3.2 vs 1.6 cm, p = 0.0001). The level of agreement between pre-operative point C measurement with traction and intra-operative point C measurement was better than pre-operative point C measurement without traction and intra-operative point C measurement on Bland and Altman plots. Women having cervical traction reported significantly greater pain score on the VAS (3.4 vs. 1.2, p < 0.0001). CONCLUSIONS: Compared to routine pre-operative examination with Valsalva and cough manoeuvres only, pre-operative examination with cervical traction had better agreement with intra-operative point C findings. Although women reported greater pain score when examined with cervical traction, it was still a tolerable and acceptable examination without anaesthesia.
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Authors | Fay L Chao, Anna Rosamilia, Peter L Dwyer, Alex Polyakov, Lore Schierlitz, Gerard Agnew |
Journal | International urogynecology journal
(Int Urogynecol J)
Vol. 23
Issue 4
Pg. 417-22
(Apr 2012)
ISSN: 1433-3023 [Electronic] England |
PMID | 22278714
(Publication Type: Journal Article, Multicenter Study, Randomized Controlled Trial)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Australia
- Cervix Uteri
(diagnostic imaging, pathology)
- Cough
- Female
- Gynecologic Surgical Procedures
(methods)
- Humans
- Intraoperative Period
- Middle Aged
- Pain Measurement
- Physical Examination
(methods)
- Preoperative Care
(methods)
- Prospective Studies
- Traction
(methods)
- Ultrasonography
- Uterine Prolapse
(pathology, surgery)
- Valsalva Maneuver
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