Investigating the association of the dimensions of genital hiatus and levator hiatus with pelvic organ prolapse: a systematic review

Background and hypothesis Pelvic organ prolapse (POP) is a very common and distressing problem that affects women’s quality of life. This systematic review aimed to investigate the association of the dimensions of the genital hiatus and levator hiatus at rest and Valsalva with POP. Methods The Cochr...

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Bibliographic Details
Published in:International Urogynecology Journal 2021-08, Vol.32 (8), p.2095-2109
Main Authors: Siahkal, Shahla Faal, Iravani, Mina, Mohaghegh, Zeynab, Sharifipour, Foruzan, Zahedian, Maryam, Nasab, Maryam Beheshti
Format: Article
Language:English
Subjects:
Gynecology
Medicine
Medicine & Public Health
Pelvic organ prolapse
Pelvis
Review Article
Systematic review
Urology
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Summary:Background and hypothesis Pelvic organ prolapse (POP) is a very common and distressing problem that affects women’s quality of life. This systematic review aimed to investigate the association of the dimensions of the genital hiatus and levator hiatus at rest and Valsalva with POP. Methods The Cochrane Library, PubMed, Scopus, Embase and Web of Science were searched on 25 April 2020. All data were analyzed using Review Manager 5.3. Results Of the 1288 papers reviewed, 21 ( n  = 5145: 2909 women with POP and 2236 controls) were considered for meta-analysis. Compared with the normal pelvic floor group, the urogenital hiatus size in the POP group was significantly higher at rest (mean difference: 0.49; 95% CI: [0.43, 0.55], P  
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-020-04639-0