{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T01:24:27Z","timestamp":1788312267522,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,5,28]],"date-time":"2012-05-28T00:00:00Z","timestamp":1338163200000},"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":["Ultrasound in Obstet &amp; Gyne"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To use the International Continence Society pelvic organ prolapse quantification (ICS POP\u2010Q) examination to distinguish between two types of cystocele and compare findings with pelvic floor ultrasound results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We enrolled 94 patients who underwent a structured interview, physical examination using the ICS POP\u2010Q, four\u2010dimensional pelvic\u2010floor ultrasound examination and multichannel urodynamic testing. Cystourethrocele (Green type II) and isolated cystocele (Green type III) were differentiated by the presence of an anterior vaginal wall groove on POP\u2010Q examination and by measurement of the retrovesical angle on pelvic floor ultrasound. Clinical examination was performed by two observers, blinded to each other's results, and an ultrasound examination was subsequently performed by the first observer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The agreement between two observers for the clinical diagnosis of cystocele types was moderate (\u03ba = 0.561 and 0.544,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.0001). Clinical diagnosis showed moderate to good agreement with ultrasound findings for both observers (\u03ba between 0.318 and 0.794,\n                      <jats:italic>P<\/jats:italic>\n                      \u2a7d 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Radiological cystocele type (Green classification) can be distinguished both clinically and on ultrasound, and agreement between methods as well as interobserver agreement for the clinical diagnosis is moderate to good. Copyright \u00a9 2012 ISUOG. 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