Vaginal pressure sensor measurement during maximal voluntary pelvic floor contraction correlates with vaginal birth and pelvic organ prolapse—A pilot study
Aims To measure the force applied along the anterior and posterior vaginal walls in a cohort of 46 patients measured by a fiber‐optic pressure sensor and determine if this correlates with vaginal parity and pelvic organ prolapse (POP). Methods An intravaginal fiber‐optic sensor measured pressure at...
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| Veröffentlicht in: | Neurourology and urodynamics Jg. 41; H. 2; S. 592 - 600 |
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| Format: | Journal Article |
| Sprache: | Englisch |
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United States
Wiley Subscription Services, Inc
01.02.2022
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| ISSN: | 0733-2467, 1520-6777, 1520-6777 |
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| Abstract | Aims
To measure the force applied along the anterior and posterior vaginal walls in a cohort of 46 patients measured by a fiber‐optic pressure sensor and determine if this correlates with vaginal parity and pelvic organ prolapse (POP).
Methods
An intravaginal fiber‐optic sensor measured pressure at nine locations along the anterior and posterior vaginal walls during a maximal voluntary pelvic floor muscle contraction (MVC). An automated probe dilation cycle measured the tissue resistance incorporating the vagina and surrounding anatomy. MVC and resting tissue resistance (RTR) were assessed between subjects grouped by the number of vaginal births and prolapse stage.
Results
A previous vaginal birth was associated with a significant threefold decrease in the overall anterior pressure measurement during MVC. Decreased anterior pressure measurements were observed at Sensors 1 and 3 (distal vagina) and, posteriorly at Sensors 4–6 (midvagina). Women with Stage 2 posterior prolapse exhibited a decreased MVC pressure in the midvagina than those with Stage 0/1. In this pilot study, there was no difference in the vaginal wall RTR according to previous vaginal birth or stage of prolapse.
Conclusion
This pilot study found that a decrease in vaginal pressure measured during MVC is associated with vaginal birth and with posterior POP. Greater sample size is required to assess the role of resting tissue pressure measurement. |
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| AbstractList | To measure the force applied along the anterior and posterior vaginal walls in a cohort of 46 patients measured by a fiber-optic pressure sensor and determine if this correlates with vaginal parity and pelvic organ prolapse (POP).AIMSTo measure the force applied along the anterior and posterior vaginal walls in a cohort of 46 patients measured by a fiber-optic pressure sensor and determine if this correlates with vaginal parity and pelvic organ prolapse (POP).An intravaginal fiber-optic sensor measured pressure at nine locations along the anterior and posterior vaginal walls during a maximal voluntary pelvic floor muscle contraction (MVC). An automated probe dilation cycle measured the tissue resistance incorporating the vagina and surrounding anatomy. MVC and resting tissue resistance (RTR) were assessed between subjects grouped by the number of vaginal births and prolapse stage.METHODSAn intravaginal fiber-optic sensor measured pressure at nine locations along the anterior and posterior vaginal walls during a maximal voluntary pelvic floor muscle contraction (MVC). An automated probe dilation cycle measured the tissue resistance incorporating the vagina and surrounding anatomy. MVC and resting tissue resistance (RTR) were assessed between subjects grouped by the number of vaginal births and prolapse stage.A previous vaginal birth was associated with a significant threefold decrease in the overall anterior pressure measurement during MVC. Decreased anterior pressure measurements were observed at Sensors 1 and 3 (distal vagina) and, posteriorly at Sensors 4-6 (midvagina). Women with Stage 2 posterior prolapse exhibited a decreased MVC pressure in the midvagina than those with Stage 0/1. In this pilot study, there was no difference in the vaginal wall RTR according to previous vaginal birth or stage of prolapse.RESULTSA previous vaginal birth was associated with a significant threefold decrease in the overall anterior pressure measurement during MVC. Decreased anterior pressure measurements were observed at Sensors 1 and 3 (distal vagina) and, posteriorly at Sensors 4-6 (midvagina). Women with Stage 2 posterior prolapse exhibited a decreased MVC pressure in the midvagina than those with Stage 0/1. In this pilot study, there was no difference in the vaginal wall RTR according to previous vaginal birth or stage of prolapse.This pilot study found that a decrease in vaginal pressure measured during MVC is associated with vaginal birth and with posterior POP. Greater sample size is required to assess the role of resting tissue pressure measurement.CONCLUSIONThis pilot study found that a decrease in vaginal pressure measured during MVC is associated with vaginal birth and with posterior POP. Greater sample size is required to assess the role of resting tissue pressure measurement. To measure the force applied along the anterior and posterior vaginal walls in a cohort of 46 patients measured by a fiber-optic pressure sensor and determine if this correlates with vaginal parity and pelvic organ prolapse (POP). An intravaginal fiber-optic sensor measured pressure at nine locations along the anterior and posterior vaginal walls during a maximal voluntary pelvic floor muscle contraction (MVC). An automated probe dilation cycle measured the tissue resistance incorporating the vagina and surrounding anatomy. MVC and resting tissue resistance (RTR) were assessed between subjects grouped by the number of vaginal births and prolapse stage. A previous vaginal birth was associated with a significant threefold decrease in the overall anterior pressure measurement during MVC. Decreased anterior pressure measurements were observed at Sensors 1 and 3 (distal vagina) and, posteriorly at Sensors 4-6 (midvagina). Women with Stage 2 posterior prolapse exhibited a decreased MVC pressure in the midvagina than those with Stage 0/1. In this pilot study, there was no difference in the vaginal wall RTR according to previous vaginal birth or stage of prolapse. This pilot study found that a decrease in vaginal pressure measured during MVC is associated with vaginal birth and with posterior POP. Greater sample size is required to assess the role of resting tissue pressure measurement. AimsTo measure the force applied along the anterior and posterior vaginal walls in a cohort of 46 patients measured by a fiber‐optic pressure sensor and determine if this correlates with vaginal parity and pelvic organ prolapse (POP).MethodsAn intravaginal fiber‐optic sensor measured pressure at nine locations along the anterior and posterior vaginal walls during a maximal voluntary pelvic floor muscle contraction (MVC). An automated probe dilation cycle measured the tissue resistance incorporating the vagina and surrounding anatomy. MVC and resting tissue resistance (RTR) were assessed between subjects grouped by the number of vaginal births and prolapse stage.ResultsA previous vaginal birth was associated with a significant threefold decrease in the overall anterior pressure measurement during MVC. Decreased anterior pressure measurements were observed at Sensors 1 and 3 (distal vagina) and, posteriorly at Sensors 4–6 (midvagina). Women with Stage 2 posterior prolapse exhibited a decreased MVC pressure in the midvagina than those with Stage 0/1. In this pilot study, there was no difference in the vaginal wall RTR according to previous vaginal birth or stage of prolapse.ConclusionThis pilot study found that a decrease in vaginal pressure measured during MVC is associated with vaginal birth and with posterior POP. Greater sample size is required to assess the role of resting tissue pressure measurement. Aims To measure the force applied along the anterior and posterior vaginal walls in a cohort of 46 patients measured by a fiber‐optic pressure sensor and determine if this correlates with vaginal parity and pelvic organ prolapse (POP). Methods An intravaginal fiber‐optic sensor measured pressure at nine locations along the anterior and posterior vaginal walls during a maximal voluntary pelvic floor muscle contraction (MVC). An automated probe dilation cycle measured the tissue resistance incorporating the vagina and surrounding anatomy. MVC and resting tissue resistance (RTR) were assessed between subjects grouped by the number of vaginal births and prolapse stage. Results A previous vaginal birth was associated with a significant threefold decrease in the overall anterior pressure measurement during MVC. Decreased anterior pressure measurements were observed at Sensors 1 and 3 (distal vagina) and, posteriorly at Sensors 4–6 (midvagina). Women with Stage 2 posterior prolapse exhibited a decreased MVC pressure in the midvagina than those with Stage 0/1. In this pilot study, there was no difference in the vaginal wall RTR according to previous vaginal birth or stage of prolapse. Conclusion This pilot study found that a decrease in vaginal pressure measured during MVC is associated with vaginal birth and with posterior POP. Greater sample size is required to assess the role of resting tissue pressure measurement. |
| Author | Parkinson, Luke A. Werkmeister, Jerome A. Karjalainen, Päivi K. Arkwright, John W. Kulkarni, Mugdha Gargett, Caroline E. Rosamilia, Anna Mukherjee, Shayanti Papageorgiou, Anthony W. Young, Natharnia Davies‐Tuck, Miranda |
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| Cites_doi | 10.1002/nau.24179 10.1016/j.ajog.2018.06.003 10.4236/ojog.2015.59073 10.1097/01.AOG.0000250901.57095.ba 10.1109/JLT.2018.2854281 10.1016/j.ajog.2007.03.040 10.1038/srep45709 10.1016/j.ajog.2019.08.003 10.1002/nau.20407 10.1002/nau.10175 10.1002/nau.24130 10.1007/s00192-011-1592-z 10.1016/S0002-9378(96)70243-0 10.1016/j.clinbiomech.2014.09.011 10.1146/annurev-bioeng-061008-124823 |
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To measure the force applied along the anterior and posterior vaginal walls in a cohort of 46 patients measured by a fiber‐optic pressure sensor and... To measure the force applied along the anterior and posterior vaginal walls in a cohort of 46 patients measured by a fiber-optic pressure sensor and determine... AimsTo measure the force applied along the anterior and posterior vaginal walls in a cohort of 46 patients measured by a fiber‐optic pressure sensor and... |
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| SubjectTerms | Birth Childbirth & labor Female fiber‐optic pressure sensor Humans Muscle contraction Muscle Contraction - physiology parity Pelvic Floor - physiology Pelvic Organ Prolapse Pelvis Pilot Projects Pregnancy Pressure Sensors tissue resistance Vagina vaginal pressure |
| Title | Vaginal pressure sensor measurement during maximal voluntary pelvic floor contraction correlates with vaginal birth and pelvic organ prolapse—A pilot study |
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