{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T01:16:26Z","timestamp":1773018986721,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100015988","name":"Norman Beischer Medical Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015988","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["2025670"],"award-info":[{"award-number":["2025670"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify the optimal vaginal stimulation region by examining the effect of intravaginal electrical stimulation (IVES) on pelvic floor muscles (PFM) as seen on transperineal ultrasound (TPUS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Open\u2010label cross\u2010sectional study of women presenting with pelvic organ prolapse. Women \u226518\u2009years and English speaking were included. Exclusion criteria were any contraindications for IVES. NeuroTrac\u00ae Continence was used for IVES. Simultaneously, TPUS was performed to assess levator hiatus (LH) length. Initially, the IVES probe was placed with the tip at the posterior fornix, then retracted in 2\u2009cm increments. The primary outcome was the identification of the optimal target region for IVES as defined by the largest reduction in LH length. Secondary outcomes included patient acceptability, and the feasibility of performing IVES and TPUS simultaneously. Statistical analysis was performed with SPSS28.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      On maximum voluntary PFM contraction, a 5.75% reduction in LH length was seen (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.002). Comparatively, when IVES was applied with the tip of the probe at or 2\u2009cm distal to the posterior fornix, 10.83% and 10.17% reductions in LH length were seen, respectively (both\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.002). At 4 and 6\u2009cm distal locations, 6.00% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.002) and 3.17% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.016) reductions were observed, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Intravaginal electrical stimulation should be performed near the posterior fornix. IVES and TPUS can be performed concomitantly.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jum.70104","type":"journal-article","created":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T11:51:58Z","timestamp":1762948318000},"page":"765-772","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transperineal Ultrasound Evaluation of Intravaginal Electrical Stimulation Parameters"],"prefix":"10.1002","volume":"45","author":[{"given":"Sascha","family":"Vereeck","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Antwerp University Hospital, University of Antwerp  Edegem Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2263-3592","authenticated-orcid":false,"given":"Daniel L.","family":"Rolnik","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Monash University  Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janetta","family":"Webb","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Monash University  Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6344-9292","authenticated-orcid":false,"given":"Ritesh Rikain","family":"Warty","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Monash University  Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Rosamilia","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Monash University  Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"446","article-title":"Pelvic organ prolapse \u2013 a review","volume":"44","author":"Dietz HP","year":"2015","journal-title":"Aust Fam Physician"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181f73729"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2018.1551348"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/0167482X.2017.1294155"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-016-3003-y"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2695-8"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i3853"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-016-3123-4"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.11.023"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1677-5538.IBJU.2013.04.02"},{"key":"e_1_2_8_12_1","article-title":"Electrical stimulation with non\u2010implanted devices for stress urinary incontinence in women","volume":"12","author":"Stewart F","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_13_1","volume-title":"Incontinence 7th Edition","author":"Cardozo L","year":"2023"},{"key":"e_1_2_8_14_1","unstructured":"Pelvic Floor Exercise.PFLEX vaginal electrode 25mm PR\u201003A. 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