DOI: 10.36347/sjams.2020.v08i02.039

Pages: 552-557

Introduction: Pelvic organ prolapse is abnormal descent of pelvic organ through the hiatus beneath it and may affects blad¬der (cystocele), vagina (vaginal prolapse), uterus (uterine prolapse), mesenteric fat (peritoneocele), small intestine, or sigmoid colon (sigmoidocele). The non-invasiveness, rapidity and absence of ionizing radiation, sonography of the pelvic floor by the transperineal approach, has been successfully employed in number of pelvic floor conditions. Objective: To identify the sonomorphological features and biometric parameters of pelvic floor in patients with pelvic organ prolapse and comparison of biometric parameters of pelvic organ prolapse with age-matched control group at rest and valsalva. Methodology: In a prospective case control study, 25 subjects with prolapse group and 25 subjects with control group were assessed. Bladder symphyseal distance (BSD), angle of urethral inclination, bladder neck descent, retrovesical angle, bladder wall thickness and quantification of prolapse were measured on rest and valsalva maneuver on 2D ultrasound. Results: 2D ultrasound may be reliably used for determining the pelvic floor morphology and biometry. Bladder symphyseal distance (BSD) was significantly lower in prolapse group compared to the control group (p=0.0000), while bladder wall thickness was significantly higher in prolapse group than controls (p=0.0055). Conclusion: Bladder symphyseal distance, bladder neck descent, and bladder wall thickness were most consistent parameters, while angle of urethral inclination and rectovesical angle yielded the most varied and less reliable measurements.