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OP26.06: Is the Valsalva/Rest ratio for area the ‘levator elasticity index’?
Author(s) -
Eisenberg V. H.,
Alcalay M.,
JakobsonSetton A.,
Achiron R.,
Schiff E.
Publication year - 2010
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.8171
Subject(s) - medicine , valsalva maneuver , ultrasound , levator ani , surgery , pelvic floor , radiology , blood pressure
on examination. Latency between age at first vaginal delivery and presentation was 32.6 years (0–72.6). There was a strong association between levator avulsion and symptoms and signs of prolapse (all P < 0.001). Patients with avulsion were not shown to present earlier, regardless of symptoms. On multivariable logistic regression, the relationship between symptoms/signs of FPOP and latency was nonlinear and was treated as a binary variable (<=20, > 20 years). However, latency was not an effect modifier of the relationship between avulsion and symptoms/signs of FPOP. Conclusions: We have found no evidence for the hypothesis that levator trauma leads to earlier presentation of women with symptoms and/ or signs of prolapse.