{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T04:30:18Z","timestamp":1776745818625,"version":"3.51.2"},"reference-count":22,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,5,10]],"date-time":"2023-05-10T00:00:00Z","timestamp":1683676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>It is unknown whether diagnosing uterine prolapse (UP) via ultrasound or surgical criteria is superior. Our objective is to determine whether the diagnostic capacity of ultrasound with surgical criteria differs from that of surgical criteria only.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a multicenter prospective observational study with 54 premenopausal patients with surgical criteria for a dysfunctional pelvic floor pathology who were consecutively recruited for 1 year. Clinical UP with surgical criteria was defined when UP stage II\u2013IV was identified (during pelvic floor consultation), and UP diagnosed by ultrasound with surgical criteria was established when a difference \u226515\u2009mm was found between rest and Valsalva applied to the pubis\u2010uterine fundus. The sensitivity, specificity and positive and negative predictive values were determined to evaluate clinical and ultrasound methodologies as diagnostic tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>UP diagnosed by ultrasound with surgical criteria presented better sensitivity (78.57 vs 35.71%), specificity (92.11 vs 81.58%), positive predictive value (61.83 vs 23.99%), and negative predictive value (96.35 vs 11.37%) than UP diagnosed by surgical criteria only.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Ultrasound with surgical criteria is superior to surgical criteria alone when diagnosing UP.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.16248","type":"journal-article","created":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T04:43:06Z","timestamp":1683780186000},"page":"2269-2275","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Identification of Surgical Uterine Prolapse in Premenopausal Patients With Clinical or Ultrasound Criteria? A Multicenter Comparative Study"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3079-5583","authenticated-orcid":false,"given":"Jos\u00e9 Antonio","family":"Garc\u00eda\u2010Mejido","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Valme University Hospital  Seville Spain"},{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine University of Seville  Seville Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia","family":"Mart\u00edn\u2010Martinez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Complejo Asistencial Universitario de Gran Canarias  Gran Canarias Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrique","family":"Gonz\u00e1lez\u2010Diaz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Complejo Asistencial Universitario de Leon (CAULE)  Le\u00f3n 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