{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T15:36:22Z","timestamp":1773329782627,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2003,12,22]],"date-time":"2003-12-22T00:00:00Z","timestamp":1072051200000},"content-version":"vor","delay-in-days":630,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2002,4]]},"abstract":"<jats:p><jats:bold>Objectives\n\t\t\t\t\t<\/jats:bold> 1. To assess whether magnetic resonance imaging and intra\u2010operative measurements are useful in assessing bladder neck elevation and urethral compression at colposuspension; 2. to see if intra\u2010operative measurements could be a substitute for magnetic resonance scan measurements.<\/jats:p><jats:p><jats:bold>Design\n\t\t\t\t\t<\/jats:bold> Prospective, observational study.<\/jats:p><jats:p><jats:bold>Setting\n\t\t\t\t\t<\/jats:bold> Urogynaecology Unit, NHS Trust hospital.<\/jats:p><jats:p><jats:bold>Population\n\t\t\t\t\t<\/jats:bold> Seventy\u2010seven women undergoing colposuspension.<\/jats:p><jats:p><jats:bold>Methods\n\t\t\t\t\t<\/jats:bold> Bladder neck elevation was assessed using magnetic resonance imaging and measuring the amount of suture bow\u2010stringing intra\u2010operatively. Urethral compression was assessed using magnetic resonance imaging and by two intra\u2010operative measurements: the distance between the medial sutures (with a ruler) and the distance between the urethra and the pubic bone (using paired Hegar dilators).<\/jats:p><jats:p><jats:bold>Results\n\t\t\t\t\t<\/jats:bold> The assessment of bladder neck elevation and compression against the pubic bone using magnetic resonance imaging was reliable (95% limits of agreement: \u22127.1mm to +7.1mm and \u22121.7mm to +3.8mm, correlation coefficient 0.92 and 0.87, respectively). The intra\u2010operative assessment of urethral compression with a ruler was also reproducible at both paravaginal and pectineal sites (95% limits of agreement \u22122.6mm to +2mm and \u22122.1mm to +2.4mm, respectively; correlation coefficient 0.99 for both distances). Other intra\u2010operative measurements of bladder neck elevation (suture bow\u2010stringing) and urethral compression (Hegars) did not correlate with equivalent magnetic resonance scan measurements (<jats:styled-content>kappa =\u22120.046, <jats:italic>P<\/jats:italic>= 0.31<\/jats:styled-content>; <jats:styled-content>kappa = 0.052, <jats:italic>P<\/jats:italic>= 0.41<\/jats:styled-content>, respectively).<\/jats:p><jats:p><jats:bold>Conclusions\n\t\t\t\t\t<\/jats:bold> Measurements have been found that can reliably assess bladder neck elevation and urethral compression at colposuspension. These measurements should be suitable for investigating morbidity following colposuspension.<\/jats:p>","DOI":"10.1111\/j.1471-0528.2002.00141.x","type":"journal-article","created":{"date-parts":[[2003,12,22]],"date-time":"2003-12-22T16:21:54Z","timestamp":1072110114000},"page":"395-401","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Objective assessment of bladder neck elevation and urethral compression at colposuspension"],"prefix":"10.1111","volume":"109","author":[{"given":"L.","family":"Bombieri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.M.","family":"Freeman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.P.","family":"Perkins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.P.","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.R.","family":"Shaw","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,12,22]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1983.tb06765.x"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1994.tb11907.x"},{"key":"e_1_2_5_4_2","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/S0094-0143(21)00999-X","article-title":"Complications of bladder neck suspension procedures","volume":"18","author":"Kelly MJ","year":"1991","journal-title":"Urol Clin North Am"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)58997-1"},{"key":"e_1_2_5_6_2","unstructured":"The Standardisation Committee of the International Continence Society.The standardisation of terminology of lower urinary tract function.Br J Obstet Gynaecol1990;(Suppl):1\u201316."},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(16)36367-0"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1976.tb00768.x"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01902383"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(94)00369-O"},{"key":"e_1_2_5_11_2","first-page":"80","article-title":"Voiding difficulties following Burch colposuspension","volume":"58","author":"Dwyer PL","year":"1986","journal-title":"Br J Urol"},{"key":"e_1_2_5_12_2","unstructured":"DundasD HiltonP WilliamsJE StantonSL.Aetiology of voiding difficulties post colposuspension. 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