+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Risk factors for coexistence of cervical elongation in uterine prolapse



Risk factors for coexistence of cervical elongation in uterine prolapse



European Journal of Obstetrics, Gynecology, and Reproductive Biology 229: 94-97



To identify factors predicting cervical elongation in women with uterine prolapse. The medical records of women with uterine prolapse who underwent vaginal hysterectomy were reviewed. Multivariable logistic regression analysis was performed to identify predictors of cervical elongation. Of 295 women with uterine prolapse, 136 (46.1%) patients had cervical elongation, according to Berger et al. Classification (i.e., cervical length >3.38 cm and/or cervix-to-corpus lengths ratio >0.79). Multivariable analysis revealed that lower parity (odds ratio = 0.85, 95% confidence interval [CI] = 0.73 to 0.99, P = 0.04) and advanced stage of uterine prolapse (odds ratio = 1.97, 95% CI = 1.35-2.88, P < 0.001) were predictors for cervical elongation. Based on a receiver operating characteristic curve (ROC) analysis, the following optimum cut-off values were determined for cervical elongation: (1) parity ≤3, ROC area = 0.60 (95% CI = 0.53 to 0.66); (2) stage of uterine prolapse ≥3, ROC area = 0.63 (95% CI = 0.56 to 0.69). Thus, the predicted logit(p) for a given parity (a) and stage of uterine prolapse (b) can be denoted by logit(p) = -1.26 - 0.16 x a + 0.68 x b. The optimum cut-off values of logit(p) ≥-0.18 to predict cervical elongation were determined using ROC analysis (area = 0.66, 95% CI = 0.59 to 0.73). For women with parity ≤6, we can use either (1) stage 2 uterine prolapse and parity ≤1, or (2) ≥ stage 3 uterine prolapse as criteria to predict cervical elongation. Lower parity and advanced stage of uterine prolapse are predictors of cervical elongation in women with uterine prolapse. Thus, stage of uterine prolapse ≥3 or logit(p) ≥-0.18 may be useful for predicting cervical elongation.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 065485918

Download citation: RISBibTeXText

PMID: 30144728

DOI: 10.1016/j.ejogrb.2018.08.011


Related references

Uterine cervical elongation and prolapse during pregnancy: an old unsolved problem. Clinical and Experimental Obstetrics & Gynecology 30(4): 183-185, 2003

Systematic classification of uterine cervical elongation in patients with pelvic organ prolapse. European Journal of Obstetrics, Gynecology, and Reproductive Biology 200(): 40-44, 2016

Risk factors for uterine prolapse in Nepal. International Urogynecology Journal and Pelvic Floor Dysfunction 18(11): 1343-1346, 2007

Risk factors for the failure of iliococcygeus suspension for uterine prolapse. European Journal of Obstetrics, Gynecology, and Reproductive Biology 225: 210-213, 2018

Uterine prolapse in pregnancy: risk factors, complications and management. Journal of Maternal-Fetal & Neonatal Medicine 27(3): 297-302, 2014

Prevalence of micronuclei in exfoliated uterine cervical cells from patients with risk factors for cervical cancer. Sao Paulo Medical Journal 126(6): 323-328, 2009

The use of balloons for uterine cervical ripening is associated with an increased risk of umbilical cord prolapse: population based questionnaire survey in Japan. Bmc Pregnancy and Childbirth 15(): 4-4, 2016

Coexistence of cervix cancer with total uterine prolapse. Ginekologia Polska 49(3): 237-238, 1978

Risk factors for failure of transvaginal sacrospinous uterine suspension in the treatment of uterovaginal prolapse. Journal of the Formosan Medical Association 104(4): 249-253, 2005

Coexistence of abortion in tubal pregnancy with incipient prolapse of uterine myoma. Polski Tygodnik Lekarski 27(36): 1403-1404, 1972

Analysis of risk factors associated with surgical failure of sacrospinous suspension for uterine or vaginal vault prolapse. International Urogynecology Journal and Pelvic Floor Dysfunction 20(4): 387-391, 2009

Study of Prolapse-Induced Cervical Elongation. Journal of Obstetrics and Gynaecology Canada 38(3): 265-269, 2018

Is cervical elongation associated with pelvic organ prolapse?. International Urogynecology Journal 23(8): 1095-1103, 2013

Method of Surgical Management of Genital Prolapse with Cervical Elongation. Vestnik Rossiiskoi Akademii Meditsinskikh Nauk 71(6): 413-419, 2016

Considering risk factors and prevention in uterine cervical cancer. Revista Medico-Chirurgicala A Societatii de Medici Si Naturalisti Din Iasi 113(2): 478-481, 2011