International Urogynecology Journal

, Volume 15, Issue 1, pp 3–9 | Cite as

Diagnosis of cystocele – the correlation between clinical and radiological evaluation

  • Daniel Altman
  • Anders Mellgren
  • Jonas Kierkegaard
  • Jan Zetterström
  • Christian Falconer
  • Annika López
Original Article


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.


Cystocele Cystodefecoperitoneography Prolapse Quantification Variability 





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Copyright information

© International Urogynecological Association 2004

Authors and Affiliations

  • Daniel Altman
    • 1
  • Anders Mellgren
    • 2
  • Jonas Kierkegaard
    • 3
  • Jan Zetterström
    • 1
  • Christian Falconer
    • 1
  • Annika López
    • 1
  1. 1.Pelvic Floor Center Danderyd Hospital, Division of Obstetrics and Gynaecology Karolinska Institutet Danderyd HospitalStockholmSweden
  2. 2.Division of Colon and Rectal SurgeryUniversity of MinnesotaMinnesotaUSA
  3. 3.Division of RadiologyKarolinska Institutet Danderyd HospitalStockholmSweden

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