title: Diagnosis of cystocele--the correlation between clinical and radiological evaluation.
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.
authors.affiliation: Pelvic Floor Center Danderyd Hospital, Division of Obstetrics and Gynaecology, Karolinska Institutet Danderyd Hospital, 182 88, Stockholm, Sweden. daniel.altman@kvk.ds.sll.se
authors.forename: Daniel
authors.initials: D
authors.lastname: Altman
authors.forename: Anders
authors.initials: A
authors.lastname: Mellgren
authors.forename: Jonas
authors.initials: J
authors.lastname: Kierkegaard
authors.forename: Jan
authors.initials: J
authors.lastname: Zetterström
authors.forename: Christian
authors.initials: C
authors.lastname: Falconer
authors.forename: Annika
authors.initials: A
authors.lastname: López
mesh_terms: D000328:Adult; D000368:Aged; D019841:Defecography; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D010808:Physical Examination; D011237:Predictive Value of Tests; D012720:Severity of Illness Index; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000473:pathology*; D014596:Uterine Prolapse / Q000150:complications*