José Antonio García-Mejido, Alicia Martín-Martinez, Rocío García-Jimenez, Enrique González-Diaz, María José Núñez-Matas, Fernando Fernández-Palacín, Sonia Carballo-Rastrilla, Camino Fernández-Fernández, José Antonio Sainz-Bueno
OBJECTIVE: To determine if the addition of the assessment of levator ani muscle (LAM) avulsion to the measurement of the difference in the pubis-uterine fundus distance between rest and with the Valsalva maneuver could increase the diagnostic capacity of ultrasound for uterine prolapse (UP). METHODS: This multicenter, observational and prospective study included 145 patients. Ultrasound assessment was performed, establishing the diagnosis of UP as a difference between the pubic-uterine fundus distance at rest and during the Valsalva maneuver ≥15 mm (standard technique), while LAM avulsion was defined as an abnormal LAM insertion in three central slices using multislice ultrasound...
October 18, 2023: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine