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Is cervical elongation associated with pelvic organ prolapse?

Introduction and hypothesis It is commonly believed that pelvic organ prolapse (POP) is associated with cervical elongation. However, cervical lengths have not been formally compared between women with prolapse and those with normal support. Methods Cervix and uterine corpus lengths were measured on...

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Bibliographic Details
Published in:International Urogynecology Journal 2012-08, Vol.23 (8), p.1095-1103
Main Authors: Berger, Mitchell B., Ramanah, Rajeev, Guire, Kenneth E., DeLancey, John O. L.
Format: Article
Language:English
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Summary:Introduction and hypothesis It is commonly believed that pelvic organ prolapse (POP) is associated with cervical elongation. However, cervical lengths have not been formally compared between women with prolapse and those with normal support. Methods Cervix and uterine corpus lengths were measured on magnetic resonance images in a case-control study of 51 women with prolapse and 46 women with normal support determined by the Pelvic Organ Prolapse Quantification (POP-Q) examination. Group matching ensured similar demographics in both groups. Ranges for normal cervical lengths were determined from the values in the control group in order to evaluate for cervical elongation amongst women with prolapse. Results The cervix is 36.4 % (8.6 mm) longer in women with prolapse than in women with normal pelvic support ( p  
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-012-1747-6