International Scholarly Research Notices

Clinical Study

Outcome Assessment of the Marshall Coughing Test during Cervix Reposition Maneuver in Women with Urinary Stress Incontinence with/without Genital Prolapse

Table 2

Quantitative description of pelvic organ position (POPQ) with anatomic landmarks in USIGPg ( 𝑛 = 1 3 6 ) and USIg ( 𝑛 = 1 3 2 ).
POPQRest positionValsalvas maneuver 𝑡 1 𝑡 2 𝑡 3 𝑡 4
USIGPg ( 𝑛 = 1 3 6 )USIg ( 𝑛 = 1 3 2 )USIGPg ( 𝑛 = 1 3 6 )USIg ( 𝑛 = 1 3 2 )
(1)(2)(3)(4)1-23-41–32–4
Aa (cm) − 1 . 2 3 ± 0 . 6 6 − 1 . 5 6 ± 0 . 7 8 − 2 . 3 9 ± 0 . 6 8 − 0 . 8 0 ± 0 . 4 4 0.321.97 †1.230.85
Ba (cm) − 0 . 9 9 ± 0 . 8 8 − 1 . 4 3 ± 0 . 5 7 + 0 . 8 9 ± 0 . 8 4 − 0 . 3 3 ± 0 . 2 4 0.501.390.551.79
C (cm) − 1 . 5 6 ± 1 . 1 1 − 7 . 2 4 ± 0 . 2 5 + 0 . 5 5 ± 1 . 2 3 − 5 . 1 2 ± 0 . 8 8 5.00 ‡3.75 ‡1.272.53 *
D (cm) − 4 . 8 3 ± 1 . 3 6 − 7 . 5 5 ± 0 . 7 7 − 4 . 1 9 ± 1 . 2 2 − 5 . 8 6 ± 0 . 9 9 1.741.060.351.35
Bp (cm) − 2 . 2 2 ± 0 . 4 5 − 2 . 7 5 ± 0 . 5 5 − 1 . 1 0 ± 0 . 9 7 − 2 . 4 8 ± 0 . 6 6 0.751.181.050.31
Ap (cm) − 2 . 0 0 ± 0 . 9 9 − 2 . 7 5 ± 0 . 5 5 − 1 . 1 0 ± 0 . 9 7 − 2 . 4 8 ± 0 . 6 6 0.660.180.650.31
gh (cm) 4 . 6 7 ± 0 . 9 5 3 . 7 4 ± 0 . 9 9 5 . 1 1 ± 0 . 6 9 4 . 1 1 ± 0 . 8 9 0.680.890.380.28
tvl (cm) 4 . 5 1 ± 1 . 1 2 7 . 3 3 ± 0 . 5 5 3 . 8 4 ± 0 . 8 7 5 . 5 8 ± 0 . 6 8 2.27 * 1.580.471.76
pb (cm) 2 . 1 8 ± 0 . 4 6 2 . 6 7 ± 0 . 5 2 2 . 1 6 ± 0 . 7 7 2 . 4 5 ± 0 . 7 8 0.710.270.020.23
Student’s paired test: ( † ) 𝑃 < 0 . 0 5 ; ( ∗ ) 𝑃 < 0 . 0 1 ; ( ‡ ) 𝑃 < 0 . 0 0 1 . 𝑡 1 : differences between column 1 and 2; 𝑡 2 : differences between column 3 and 4; 𝑡 3 : differences between column 1 and 3; 𝑡 4 : differences between column 2 and 4. POPQ: International Continence Society’s Pelvic Organ Prolapse Quantification system. Aa: a point located in the midline of the anterior vaginal wall 3 cm proximal to the external urethral meatus; Ba: the most distal position of any part of the upper anterior wall from the vaginal cuff to point Aa; C: leading edge of the cervix; D: the depth of the Douglas recession (distance between the hymen and the most distal point of the Douglas); Bp: the most distal position of any part of the upper posterior wall from the vaginal cuff to point Ap; Ap: a point located in the midline of the posterior vaginal wall 3 cm proximal to the hymen; gh: genital hiatus, measured from the middle of the external urethral meatus to the posterior midline hymen; pb: perineal body, measured from the posterior margin of the genital hiatus to the midanal opening; tvl (total vaginal length): the greatest depth of the vagina in centimeters, that is, the distance between hymen and point D.