Original Article

International Urogynecology Journal

, Volume 15, Issue 1, pp 3-9

Diagnosis of cystocele – the correlation between clinical and radiological evaluation

  • Daniel AltmanAffiliated withPelvic Floor Center Danderyd Hospital, Division of Obstetrics and Gynaecology , Karolinska Institutet Danderyd Hospital Email author 
  • , Anders MellgrenAffiliated withDivision of Colon and Rectal Surgery, University of Minnesota
  • , Jonas KierkegaardAffiliated withDivision of Radiology, Karolinska Institutet Danderyd Hospital
  • , Jan ZetterströmAffiliated withPelvic Floor Center Danderyd Hospital, Division of Obstetrics and Gynaecology , Karolinska Institutet Danderyd Hospital
  • , Christian FalconerAffiliated withPelvic Floor Center Danderyd Hospital, Division of Obstetrics and Gynaecology , Karolinska Institutet Danderyd Hospital
  • , Annika LópezAffiliated withPelvic Floor Center Danderyd Hospital, Division of Obstetrics and Gynaecology , Karolinska Institutet Danderyd Hospital

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Abstract

In patients with genital prolapse involving several compartments simultaneously, radiologic investigation can be used to complement the clinical assessment. Contrast medium in the urinary bladder enables visualization of the bladder base at cystodefecoperitoneography (CDP). The aim of the present study was to evaluate the correlation between clinical examination using the Pelvic Organ Prolapse Quantification system (POP-Q) and CDP. Thirty-three women underwent clinical assessment and CDP. Statistical analysis using Pearson’s correlation coefficient (r) demonstrated a wide variability between the current definition of cystocele at CDP and POP-Q (r=0.67). An attempt to provide an alternative definition of cystocele at CDP had a similar outcome (r=0.63). The present study demonstrates a moderate correlation between clinical and radiologic findings in patients with anterior vaginal wall prolapse. It does not support the use of bladder contrast at radiologic investigation in the routine preoperative assessment of patients with genital prolapse.

Keywords

Cystocele Cystodefecoperitoneography Prolapse Quantification Variability