A comparison of preoperative and intraoperative evaluations for patients who undergo site-specific operation for the correction of pelvic organ prolapse.
OBJECTIVE
We compared preoperative and intraoperative assessments of pelvic organ prolapse to ascertain whether differences existed.


METHODS
This study is a retrospective analysis of information that was collected of 193 women who underwent reconstructive operation for pelvic organ prolapse between January 1994 and April 1999 by the senior author (B. L. S.) in this institution. Support for the urethra, bladder, cervix or vaginal cuff, cul-de-sac, and rectum were assessed with the Baden-Walker halfway system before and during the operations.


RESULTS
Preoperative and intraoperative assessments were significantly correlated (Spearman rank order correlation, 0.85-0.94). A comparison of the assessments revealed significantly greater prolapse at the urethra, cervix/cuff, cul-de-sac, and rectum on intraoperative evaluation (P <or=.00007).


CONCLUSIONS
Intraoperative evaluation of women who are to undergo reconstructive operation for pelvic organ prolapse may reveal greater prolapse at selected sites than previously noted in up to 32% of patients.
Vineyard
David D
DD
Department of Obstetrics and Gynecology, Scott and White Clinic and Memorial Hospital, Texas A&M University System Health Sciences Center College of Medicine, Temple 76508, USA.
Kuehl
Thomas J
TJ
Coates
Kimberly W
KW
Shull
Bobby L
BL
D002584:Cervix Uteri / Q000503:physiopathology; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D012007:Rectum / Q000503:physiopathology; D012189:Retrospective Studies; D012720:Severity of Illness Index; D014521:Urethra / Q000503:physiopathology; D001743:Urinary Bladder / Q000503:physiopathology; D014596:Uterine Prolapse / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*