{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:11:26Z","timestamp":1783555886864,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2006,1,13]],"date-time":"2006-01-13T00:00:00Z","timestamp":1137110400000},"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":["BJOG"],"published-print":{"date-parts":[[2006,2]]},"abstract":"<jats:p><jats:bold>Objectives\u2002<\/jats:bold> While morphological abnormalities of the pubovisceral muscle have been described on magnetic resonance imaging (MRI), their relevance remains unclear. This study was designed to define prevalence and clinical significance of such abnormalities in urogynaecological patients.<\/jats:p><jats:p><jats:bold>Design\u2002<\/jats:bold> Prospective observational study.<\/jats:p><jats:p><jats:bold>Setting\u2002<\/jats:bold> Tertiary urogynaecological clinic.<\/jats:p><jats:p><jats:bold>Population\u2002<\/jats:bold> Three hundred and thirty\u2010eight consecutive women referred for urodynamic assessment.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> Participants underwent a clinical assessment, multichannel urodynamics and imaging with 3D translabial ultrasound. Blinded offline analysis was performed with the software 4D View (GE Kretztechnik, Zipf, Austria).<\/jats:p><jats:p><jats:bold>Main outcome measures\u2002<\/jats:bold> Major morphological abnormalities of the pubovisceral muscle.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Defects of the pubovisceral muscle were found in 15.4% of parous women. They were exclusively anteromedial (uni\u2010 or bilateral), only occurred among women who had delivered vaginally and were associated with anterior and central compartment prolapse (all <jats:italic>P<\/jats:italic> &lt; 0.001). There was no association with symptoms of bladder dysfunction or urodynamic findings.<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> Major morphological abnormalities of the pubovisceral muscle are common in parous urogynaecological patients. They are associated with prolapse of the anterior and central compartment, but not with symptoms of bladder dysfunction or urodynamic findings.<\/jats:p>","DOI":"10.1111\/j.1471-0528.2006.00819.x","type":"journal-article","created":{"date-parts":[[2006,1,13]],"date-time":"2006-01-13T09:37:02Z","timestamp":1137145022000},"page":"225-230","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":242,"title":["The prevalence of major abnormalities of the levator ani in urogynaecological patients"],"prefix":"10.1111","volume":"113","author":[{"given":"HP","family":"Dietz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AB","family":"Steensma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,1,13]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001703-199408000-00003"},{"key":"e_1_2_6_3_2","first-page":"78","volume-title":"Pelvic Floor Reeducation\u2014Principles and Practice","author":"Debus\u2010Thiede G","year":"1994"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01900574"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001929970006"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.116365"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200301000-00012"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1899"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1072"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6777(1998)17:6<579::AID-NAU2>3.0.CO;2-R"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000178779.62181.01"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.939"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1989.tb05518.x"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(43)90528-9"},{"key":"e_1_2_6_15_2","doi-asserted-by":"crossref","unstructured":"GaineyHL.Postpartum observation of pelvic tissue damage: further studies.1955;70(4):800\u2013807.","DOI":"10.1016\/S0002-9378(16)37836-X"},{"key":"e_1_2_6_16_2","first-page":"43","volume-title":"Vaginal Surgery","author":"Nichols D","year":"1996"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(99)80047-4"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2000.tb11669.x"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00058-6"},{"issue":"4","key":"e_1_2_6_20_2","first-page":"289","article-title":"Obstetric practice and urinary incontinence 5\u20137 years after delivery","volume":"21","author":"Wilson PD","year":"2002","journal-title":"Neurourol Urodyn"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa021788"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000109207.22354.65"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1471-0528.2006.00819.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1471-0528.2006.00819.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T10:13:24Z","timestamp":1697019204000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1471-0528.2006.00819.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,1,13]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2006,2]]}},"alternative-id":["10.1111\/j.1471-0528.2006.00819.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1471-0528.2006.00819.x","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,1,13]]},"assertion":[{"value":"2006-01-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}