title: [Cystocele and perineal ultrasound : Comparison of reliability and patient satisfaction].
abstract: BACKGROUND
  Pelvic organ prolapse is a common medical finding. The use of perineal ultrasound for diagnosis of cystoceles is gaining in importance.
  
  
  OBJECTIVE
  The purpose of this work was to test whether perineal ultrasound can be used to diagnose a cystocele before surgery and for follow-up examination. Furthermore, patient satisfaction during speculum examination and perineal ultrasound was compared.
  
  
  METHODS
  33 women with cystocele were examined before and after anterior colporrhaphy. Symptoms and satisfaction were documented with questionnaires.
  
  
  RESULTS
  Ultrasound measurements of both examiners were correlated before and after colporrhaphy. Also, the degree of cystocele and ultrasound were correlated during Valsalva after surgery. There was no clear relation between typical symptoms of the cystocele and ultrasound measurements. The patient's comfort is higher during ultrasound than during speculum examination (r = 0.45; p = 0.04. t = 4,418; p < 0.01).
  
  
  CONCLUSIONS
  The results of the perineal ultrasound are reproducible before and after colporrhaphy. Patients prefer ultrasound to the speculum examination. A sonographic scale of the cystocele would extend the use of perineal ultrasound.
authors.affiliation: Klinik für Gynäkologie und Geburtsmedizin, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland. regina.blum@googlemail.com.
authors.forename: R
authors.initials: R
authors.lastname: Blum
authors.affiliation: Klinik für Gynäkologie und Geburtsmedizin, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland.
authors.forename: G
authors.initials: G
authors.lastname: Blum
authors.affiliation: Klinik für Gynäkologie und Geburtsmedizin, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland.
authors.forename: G
authors.initials: G
authors.lastname: Link
authors.affiliation: Klinik für Gynäkologie und Geburtsmedizin, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland.
authors.forename: I
authors.initials: I
authors.lastname: Meinhold-Heerlein
authors.affiliation: Klinik für Gynäkologie und Geburtsmedizin, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland.
authors.forename: L
authors.initials: L
authors.lastname: Najjari
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D052858:Cystocele / Q000000981:diagnostic imaging* / Q000523:psychology*; D005260:Female; D005858:Germany; D006801:Humans; D008875:Middle Aged; D000070659:Patient Comfort; D017060:Patient Satisfaction; D010502:Perineum / Q000000981:diagnostic imaging*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D014463:Ultrasonography / Q000379:methods*; D055815:Young Adult
keywords: Colporrhaphy; Cystocele; POP-Q; Patient satisfaction; Perineal ultrasound