RT Journal Article
T1 Interobserver variability of ultrasound measurements for the differential diagnosis of uterine prolapse and cervical elongation without uterine prolapse.
A1 García-Mejido, José Antonio
A1 Ramos Vega, Zenaida
A1 Armijo Sánchez, Alberto
A1 Fernández-Palacín, Ana
A1 Fernández, Carlota Borrero
A1 Sainz Bueno, José Antonio
K1 3D transperineal ultrasound
K1 Cervical elongation
K1 Pelvic organ prolapse
K1 Uterine prolapse
AB Our study aims to determine the interobserver variability of different ultrasound measurements (pubis-cervix distance, pubis-uterine fundus distance, and pubis-Douglascul-de-sac distance) previously analyzed for the ultrasound differential diagnosis of uterine prolapse (UP) and cervical elongation CE without UP. We conducted a prospective observational study with 40 patients scheduled to undergo surgical correction of UP and CE without UP. All patients underwent pelvic floor ultrasound examination by an examiner (E1) who acquired ultrasound images. Using these images, E1 measured the distances for the ultrasound differential diagnosis of UP and CE without UP, and these distances were compared with those measured by the other examiner (E2). Values were analyzed by calculating ICCs with 95% CIs. For UP, excellent reliability was obtained for all measurements except the pubis-Douglascul-de-sac measurement at rest, which was moderate (ICC 0.596; p = 0.028) and for the difference between the pubis-Douglascul-de-sac measurement at rest and during the Valsalva maneuver, which was good (ICC 0.691; p  There is excellent interobserver reliability in measurements of the difference in the distance from the pubic symphysis to the uterine fundus at rest and during the Valsalva maneuver for both UP and CE without UP, which are used for the ultrasound differential diagnosis of UP and CE without UP.
YR 2021
FD 2021-10-07
LK https://hdl.handle.net/10668/27168
UL https://hdl.handle.net/10668/27168
LA en
DS RISalud
RD Apr 7, 2025