{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T16:30:37Z","timestamp":1748277037771},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,3,18]],"date-time":"2019-03-18T00:00:00Z","timestamp":1552867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the values of perineal body (PB) and genital hiatus (GH) before and after posterior repair. We also evaluated the introital surface area (ISA)\u2014a sum of transverse and longitudinal GH measurements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This secondary analysis of a prospective case series included 94 women undergoing posterior vaginal prolapse surgery at a consultant urogynecology clinic between October 3, 2011, and October 2, 2014. Patients were examined in clinic using the pelvic organ prolapse quantification system with Valsalva maneuver, and in theatre pre\u2010 and postoperatively with traction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Immediately postoperatively, a statistically significant change (all <jats:italic>P<\/jats:italic>&lt;0.001) was noted for GH (mean difference \u22120.59\u00a0cm), PB (\u22120.56\u00a0cm), and ISA (\u22120.87\u00a0cm) compared with preoperative measurement. This effect was maintained for GH (\u22120.42\u00a0cm) and PB (\u22120.40\u00a0cm) at 2\u00a0months\u2019 follow\u2010up (both <jats:italic>P<\/jats:italic>&lt;0.001), and for PB alone (\u22120.43\u00a0cm; <jats:italic>P<\/jats:italic>=0.04) at 8\u00a0months. ISA had a moderate correlation with GH (<jats:italic>r<\/jats:italic>=0.55).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Posterior repair significantly improved PB length at months 2 and 8, and GH length at month 2. ISA did not correlate with prolapse stage. Changes in GH were not maintained beyond postoperative month 2.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12783","type":"journal-article","created":{"date-parts":[[2019,2,12]],"date-time":"2019-02-12T18:49:27Z","timestamp":1549997367000},"page":"239-243","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Perioperative changes in superficial pelvic organ prolapse quantification system measurements after prolapse surgery"],"prefix":"10.1002","volume":"145","author":[{"given":"Constantin M.","family":"Durnea","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Epsom &amp; St Helier University Hospitals NHS Trust  Epsom UK"},{"name":"Northwick Park Hospital London North West University Healthcare NHS  Harrow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya","family":"Basu","sequence":"additional","affiliation":[{"name":"Medway NHS Foundation Trust  Gillingham Kent UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiran","family":"Dadhwal","sequence":"additional","affiliation":[{"name":"St. George's, University of London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasmin V.","family":"Gayle","sequence":"additional","affiliation":[{"name":"St. George's, University of London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nivedita","family":"Gauthaman","sequence":"additional","affiliation":[{"name":"Hampshire Hospitals NHS Foundation Trust  Hampshire UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azar","family":"Khunda","sequence":"additional","affiliation":[{"name":"St. Thomas\u2019 Hospital Guy's and St. Thomas\u2019 Hospitals Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stergios K.","family":"Doumouchtsis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Epsom &amp; 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