{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T08:56:22Z","timestamp":1765356982631,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T00:00:00Z","timestamp":1629331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["# R21 HD079908","#K12 HD065257","#R03 HD096189"],"award-info":[{"award-number":["# R21 HD079908","#K12 HD065257","#R03 HD096189"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine whether preoperative genital hiatus at rest is predictive of medium\u2010term prolapse recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective study of women who underwent native tissue prolapse surgery from 2002 to 2017 with pelvic organ prolapse quantification data including resting genital hiatus at one of three time points: preoperatively, 6\u2009weeks, and \u22651\u00a0year postoperatively. Demographics and clinical data were abstracted from the chart. Prolapse recurrence was defined by anatomic outcomes (Ba\u2009&gt;\u20090, Bp\u2009&gt;\u20090, and\/or C\u2009\u2265\u2009\u22124) or retreatment. Descriptive statistics, bivariate analyses, and logistic regression analyses were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 165 women included, 36 (21.8%) had prolapse recurrence at an average of 1.5\u2009years after surgery. Preoperative resting genital hiatus did not differ between women with surgical success versus recurrence (3.5\u00a0cm [interquartile range, IQR 2.25, 4.0) vs 3.5\u00a0cm (IQR 3.0, 4.0), <jats:italic>p<\/jats:italic>\u00a0=\u00a00.71). Point Bp was greater in the recurrence group at every time point. Preoperative Bp (odds ratio [OR] 1.24, confidence interval [CI] [1.06\u20131.45], <jats:italic>p<\/jats:italic>\u00a0=\u00a00.01) and days from surgery (OR 1.001, CI [1.000\u20131.001], <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) were independently associated with recurrence. Preoperative genital hiatus at rest and strain were significantly larger among women who underwent a colpoperineorrhaphy (rest: 4.0 [3.0, 4.5] cm vs 3.5 [3.0, 4.0] cm, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01; strain: 6.0 [4.0, 6.5] cm vs 5.0 [4.0, 6.0] cm, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Preoperative genital hiatus at rest was not associated with prolapse recurrence when the majority of women underwent colpoperineorrhaphy. Preoperative Bp was more predictive of short\u2010term prolapse recurrence. For every 1\u00a0cm increase in point Bp, there is a 24% increased odds of recurrence.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.14993","type":"journal-article","created":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T23:34:12Z","timestamp":1629416052000},"page":"4023-4029","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Does preoperative resting genital hiatus size predict surgical outcomes?"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9077-0409","authenticated-orcid":false,"given":"Payton","family":"Schmidt","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline K.","family":"Cox","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Michigan  Ann Arbor Michigan 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USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn W.","family":"Swenson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Michigan  Ann Arbor Michigan 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