1845 COMPARISON OF PELVIC ANATOMY AFTER CHILDBIRTH AND MENOPAUSE TO BEFORE CHILDBIRTH USING PELVIC MRI. AND NALYSIS OF PREDICTORS OF CYSTOCELE

Abstract

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Female Urology (II)1 Apr 20131845 COMPARISON OF PELVIC ANATOMY AFTER CHILDBIRTH AND MENOPAUSE TO BEFORE CHILDBIRTH USING PELVIC MRI. AND NALYSIS OF PREDICTORS OF CYSTOCELE Mitsuharu Iwasaki, Nobuhiro Haga, Junya Hata, Yuuichi Satoh, Kouji Sagawa, Norio Takahashi, and Yoshiyuki Kojima Mitsuharu IwasakiMitsuharu Iwasaki Fukushima, Japan More articles by this author , Nobuhiro HagaNobuhiro Haga Fukushima, Japan More articles by this author , Junya HataJunya Hata Fukushima, Japan More articles by this author , Yuuichi SatohYuuichi Satoh Fukushima, Japan More articles by this author , Kouji SagawaKouji Sagawa Fukushima, Japan More articles by this author , Norio TakahashiNorio Takahashi Fukushima, Japan More articles by this author , and Yoshiyuki KojimaYoshiyuki Kojima Fukushima, Japan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.2264AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We measured various parameters representing the levator ani muscle and pelvic morphology from MRI images of Japanese female pelvis to clarify the changes due to aging and childbirth. Finally we analyzed statistically relevance to occurrence of cystocele and its grade. METHODS As levator ani muscle parameters, we measured levator ani muscle volume and the levator hiatus longitudinal and transverse diameter from MRI. As pelvic morphology parameters, we measured the distance between the ischium, pubic arch angle, the distance of obstetrical conjugate, and the distance between lower edge of the pubic bone and coccyx from MRI. Using these data, we compared the differences between the three groups, postmenopausal parous women with cystocele:GROUP1 (n= 29), postmenopausal parous women without cystocele:GROUP2 (n=26), and young nulliparous women:GROUP3 (n= 26). Furthermore, in addition to the Body Mass Index we analyzed the predictors of occurrence of cystocele and its grade. RESULTS Volume decrease of levator ani muscle and the increase in levator hiatus longitudinal and transverse diameter thought to be due to childbirth and aging was observed. It was thought the levator ani muscle volume reduction and increased levator hiatus transverse diameter were the risk factor for cystocele occurrence and its grade. Pelvic morphology and Body Mass Index, was not involved in the cystocele occurrence and its grade. CONCLUSIONS In Japanese women, it was found that the levator ani muscle volume reduction and increased levator hiatus transverse diameter were the risk factor for cystocele occurrence and its grade. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e757-e758 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mitsuharu Iwasaki Fukushima, Japan More articles by this author Nobuhiro Haga Fukushima, Japan More articles by this author Junya Hata Fukushima, Japan More articles by this author Yuuichi Satoh Fukushima, Japan More articles by this author Kouji Sagawa Fukushima, Japan More articles by this author Norio Takahashi Fukushima, Japan More articles by this author Yoshiyuki Kojima Fukushima, Japan More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...