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International Urogynecology Journal

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01.10.2009 | Original Article

Pubococcygeus–puborectalis trauma after forceps delivery: evaluation of the levator ani muscle with 3D/4D ultrasound

verfasst von: Ladislav Krofta, Michal Otčenášek, Eva Kašíková, Jaroslav Feyereisl

Erschienen in: International Urogynecology Journal | Ausgabe 10/2009

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Abstract

Introduction and hypothesis

This study seeks to assess the effects of forceps-assisted delivery on the levator hiatus.

Methods

Seventy-six women were investigated 12 months after forceps-assisted delivery. Introital three-/four-dimensional ultrasound measured volumes at rest and during the Valsalva maneuver. Morphological parameters analyzed were angle gamma, hiatal area, pubovisceral angle, and continuity between the muscle and pelvic sidewall. Avulsion was diagnosed by loss of continuity.

Results

Forty-eight women had avulsion injuries, 23 had bilateral, and 25 had unilateral. Bilateral avulsion increased hiatal area during straining and at rest and was associated with changes in bladder neck position at rest. Unilateral avulsion injury was associated with a higher pubovisceral angle on the side of the avulsion.

Conclusion

Forceps-assisted vaginal delivery is associated with levator ani injury. Avulsion of the pubovisceral muscle seems more common after forceps delivery than after spontaneous vaginal delivery. Avulsion alters hiatal shape and area and influences the position and mobility of the anterior compartment.

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Titel: Pubococcygeus–puborectalis trauma after forceps delivery: evaluation of the levator ani muscle with 3D/4D ultrasound
verfasst von: Ladislav Krofta
Michal Otčenášek
Eva Kašíková
Jaroslav Feyereisl
Publikationsdatum: 01.10.2009
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 10/2009
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-0837-6

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Pubococcygeus–puborectalis trauma after forceps delivery: evaluation of the levator ani muscle with 3D/4D ultrasound

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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