{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T07:24:44Z","timestamp":1770708284298,"version":"3.49.0"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,1,2]],"date-time":"2019-01-02T00:00:00Z","timestamp":1546387200000},"content-version":"vor","delay-in-days":1,"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":[[2019,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate changes in urethral mobility and configuration after prolapse repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective study of 92 patients  who were examined between 2005 and 2016 before and after surgery for pelvic organ prolapse (POP) without concomitant anti\u2010incontinence surgery. All patients were assessed with an interview, POP quantification and translabial four\u2010dimensional ultrasound. Urethral mobility was evaluated using semi\u2010automated urethral motion profile software in which <jats:italic>x<\/jats:italic>\u2010 and <jats:italic>y<\/jats:italic>\u2010coordinates of six equidistant points along the length of the urethra were determined both at rest and on Valsalva, relative to the posteroinferior margin of the pubic symphysis. Urethral kinking was measured by placing tangents distal and proximal to any visually identified change in the urethral axis. Imaging data obtained before and after prolapse surgery were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean age was 58\u2009years and mean follow\u2010up was 5.8\u2009months. Prolapse symptoms had resolved in 85% of patients. Highly significant reductions in urethral mobility and urethral kinking were seen after surgery (all <jats:italic>P<\/jats:italic>\u2009\u2264\u20090.001). Similar changes were observed after anterior vaginal repair with or without apical repair, without concomitant posterior repair (<jats:italic>n<\/jats:italic>\u2009=\u200923; all <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>POP surgery was associated significantly with \u2018straightening\u2019 of the urethra and reduction in urethral mobility. The effect seems to be due largely to cystocele repair. Copyright \u00a9 2018 ISUOG. 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L.","family":"Shek","sequence":"additional","affiliation":[{"name":"Nepean Clinical School University of Sydney  Sydney NSW Australia"},{"name":"Liverpool Clinical School Western Sydney University  Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2211-6149","authenticated-orcid":false,"given":"H. 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