Journal article
Magnetic resonance assessment of pelvic anatomy and pelvic floor disorders after childbirth
INTERNATIONAL UROGYNECOLOGY JOURNAL, Vol.20(2), pp.133-139
02/01/2009
DOI: 10.1007/s00192-008-0736-2
PMCID: PMC2916750
PMID: 18846311
Abstract
To compare pelvic anatomy, using magnetic resonance imaging, between postpartum women with or without pelvic floor disorders. We measured postpartum bony and soft tissue pelvic dimensions in 246 primiparas, 6-12-months postpartum. Anatomy was compared between women with and without urinary or fecal incontinence, or pelvic organ prolapse; P < 0.01 was considered statistically significant. A deeper sacral hollow was significantly associated with fecal incontinence (P = 0.005). Urinary incontinence was marginally associated with a wider intertuberous diameter (P = 0.017) and pelvic arch (P = 0.017). There were no significant differences in pelvimetry measures between women with and without prolapse (e.g., vaginal or cervical descent to or beyond the hymen). We did not detect meaningful differences in soft tissue dimensions for women with and without these pelvic floor disorders. Dimensions of the bony pelvis do not differ substantially between primiparous women with and without postpartum urinary incontinence, fecal incontinence and prolapse.
Details
- Title: Subtitle
- Magnetic resonance assessment of pelvic anatomy and pelvic floor disorders after childbirth
- Creators
- Victoria L. Handa - Johns Hopkins University School of MedicineMark E. Lockhart - Univ Alabama Birmingham, Dept Radiol, Birmingham, AL USAKimberly S. Kenton - Loyola University ChicagoCatherine S. Bradley - University of Iowa, EpidemiologyJulia R. Fielding - Univ N Carolina, Dept Radiol, Chapel Hill, NC USAGeoffrey W. Cundiff - Univ British Columbia, Dept Obstet & Gynaecol, Vancouver, BC V5Z 1M9, CanadaCaryl G. Salomon - Edwards V Hilnes Jr Vet Adm Hosp, Dept Diagnost Radiol, Hines, IL USAChristiane Hakim - University of Pittsburgh Medical CenterWen Ye - Univ Michigan, Dept Biostat, Ann Arbor, MI 48109 USAHolly E. Richter - Univ Alabama Birmingham, Dept Obstet & Gynecol, Birmingham, AL 35294 USA
- Resource Type
- Journal article
- Publication Details
- INTERNATIONAL UROGYNECOLOGY JOURNAL, Vol.20(2), pp.133-139
- DOI
- 10.1007/s00192-008-0736-2
- PMID
- 18846311
- PMCID
- PMC2916750
- NLM abbreviation
- Int Urogynecol J
- ISSN
- 0937-3462
- eISSN
- 1433-3023
- Publisher
- Springer Nature
- Number of pages
- 7
- Grant note
- UG1HD041267 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) U01 HD41249; U10 HD41268; U10 HD41248; U10 HD41250; U10 HD41261; U10 HD41263; U10 HD41269; U10 HD41267 / National Institute of Child Health and Human Development; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) U10HD041248 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
- Language
- English
- Date published
- 02/01/2009
- Academic Unit
- Epidemiology; Obstetrics and Gynecology; Urology
- Record Identifier
- 9983557794302771
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