{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T14:57:11Z","timestamp":1761490631949},"reference-count":44,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,8,22]],"date-time":"2018-08-22T00:00:00Z","timestamp":1534896000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Ministry of Economy and Competitiveness, ISCIII","award":["PI13\/01237"],"award-info":[{"award-number":["PI13\/01237"]}]},{"name":"Seneca Foundation, Murcia Regional Agency of Science and Technology","award":["19443\/PI\/14"],"award-info":[{"award-number":["19443\/PI\/14"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>Anogenital distance (AGD) has been proposed as a marker of the prenatal hormonal milieu and potential environmental insults. The measures of the Pelvic Organ Prolapse\u2010Questionnaire (POP\u2010Q) system is being widely used in the evaluation of the perineum in women with POP pathologies. Genital hiatus (GH) and perineal body (PB) lengths have been related to both prolapse incidence and recurrence and for pessary treatment failure. The use of AGD in female human studies is now emerging and its comparability with other anthropometric measurements could be relevant. The aim of the study was to compare AGD and POP\u2010Q system in adult females.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study included 155 pregnant women in the first stage of labor. Perineal measurements were performed on women in the lithotomy position: AGD from the anus to the clitoris (AGD<jats:sub>AC<\/jats:sub>); AGD from the anus to the fourchette (AGD<jats:sub>AF<\/jats:sub>); GH from the external urethral meatus to the posterior midline hymen, and length of the PB from the posterior midline hymen to the mid\u2010anal opening. Coefficients of variations (CV) were calculated. Intraclass correlation coefficients (ICC) and Bland\u2010Altman graphs were used to compare both set of measurements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>CV were below 15% for AGD<jats:sub>AC<\/jats:sub> and GH\u2009+\u2009PB, though higher for AGD<jats:sub>AF<\/jats:sub> and PB (20% and 17%, respectively). ICCs for each pair of measurements were above 80%, (excellent agreement between methods). Concordance between measurements was confirmed by Bland\u2010Altman graphs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Comparable measurements were obtained using AGDs and POP\u2010Q system. Further studies are needed to explore clinical and epidemiological implications of these findings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.23798","type":"journal-article","created":{"date-parts":[[2018,8,23]],"date-time":"2018-08-23T06:48:39Z","timestamp":1535006919000},"page":"2847-2853","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparability between adult female anogenital distance and perineal measurements standardized by POP\u2010Q system (GH and PB)"],"prefix":"10.1002","volume":"37","author":[{"given":"Mar\u00eda L.","family":"S\u00e1nchez\u2010Ferrer","sequence":"first","affiliation":[{"name":"Departmentof Obstetrics and Gynecology \u201cVirgen de la Arrixaca\u201d University Clinical Hospital and Institute for Biomedical Research of Murcia El Palmar Murcia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda 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