{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:32:40Z","timestamp":1761708760422},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,4,14]],"date-time":"2012-04-14T00:00:00Z","timestamp":1334361600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the effect of bladder fullness on pelvic organ prolapse (POP) staging via the Pelvic Organ Prolapse Quantification System (POP\u2010Q).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty women with advanced POP underwent pelvic examination with maximal Valsalva straining via POP\u2010Q with an empty bladder and after transcatheter bladder filling to maximum cystometric capacity, with simultaneous intra\u2010abdominal and intravesical pressure recordings. Main outcome measures included POP\u2010Q values and staging with full versus empty bladder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>An empty bladder was associated with a significantly higher POP\u2010Q staging (median, 3 vs 2; <jats:italic>P<\/jats:italic> &lt; 0.0001); and a lower location of points Ba (4.51 vs 1.37; <jats:italic>P<\/jats:italic> &lt; 0.0001), Aa (2.58 vs 0.62; <jats:italic>P<\/jats:italic> &lt; 0.0001), Bp (\u2212 0.68 vs \u2212 1.10; <jats:italic>P<\/jats:italic> = 0.01), Ap (0.83 vs \u2212 1.27; <jats:italic>P<\/jats:italic> = 0.002), C (1.57 vs \u2212 1.07; <jats:italic>P<\/jats:italic> &lt; 0.0001), and D (0.14 vs \u2212 2.77; <jats:italic>P<\/jats:italic> &lt; 0.0001) compared with a full bladder. However, genital hiatus, perineal body, and total vaginal length values were not significantly affected by bladder fullness. No differences in intra\u2010abdominal or detrusor pressures were noted between empty and full bladder states.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>POP\u2010Q assessment with a full bladder is associated with underestimation of POP severity. Therefore, bladder emptying should be a standard requirement for POP\u2010Q staging and reporting.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2012.02.009","type":"journal-article","created":{"date-parts":[[2012,4,15]],"date-time":"2012-04-15T00:47:42Z","timestamp":1334450862000},"page":"24-26","source":"Crossref","is-referenced-by-count":7,"title":["The effect of bladder fullness on evaluation of pelvic organ prolapse"],"prefix":"10.1002","volume":"118","author":[{"given":"Nir","family":"Haya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eran","family":"Segev","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace","family":"Younes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eyal","family":"Goldschmidt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ron","family":"Auslender","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoram","family":"Abramov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,4,14]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000263469.68106.90"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2002.121897"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00058-6"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-007-0459-9"},{"key":"e_1_2_6_6_2","first-page":"257","article-title":"Current clinical nomenclature for description of pelvic organ prolapse","volume":"2","author":"Brubaker L.","year":"1996","journal-title":"J Pelvic Surg"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70243-0"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70091-1"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01894199"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(98)70010-9"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10052"},{"key":"e_1_2_6_12_2","volume-title":"Operative Gynecology","author":"Kelly H.A.","year":"1898"},{"issue":"3","key":"e_1_2_6_13_2","doi-asserted-by":"crossref","first-page":"1353","DOI":"10.1016\/S0022-5347(05)65298-6","article-title":"Dynamic magnetic resonance imaging of the female pelvis: the relationship with the Pelvic Organ Prolapse quantification staging system","volume":"167","author":"Hodroff M.A.","year":"2002","journal-title":"J Urol"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0634-7"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.0960-7692.2001.00494.x"},{"issue":"1","key":"e_1_2_6_16_2","first-page":"18","article-title":"Effect of patient position on clinical evaluation of pelvic organ prolapse","volume":"96","author":"Barber M.D.","year":"2000","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.05.012"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000131619.97936.e2"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1159\/000292507"}],"container-title":["International Journal of Gynecology &amp; 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