Comparison of ureteral and cervical descents during vaginal hysterectomy for uterine prolapse
Objective: The study measured ureteral and cervical locations during vaginal hysterectomy for prolapse and the extent of parametrial ligament shortening possible. Study Design: Cervical and ureteral position were measured in 26 women undergoing uterine prolapse correction. Parametrial clamp tip loca...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 1998-12, Vol.179 (6), p.1405-1410 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | DeLancey, John O.L. Strohbehn, Kris Aronson, Michael P. |
| description | Objective: The study measured ureteral and cervical locations during vaginal hysterectomy for prolapse and the extent of parametrial ligament shortening possible.
Study Design: Cervical and ureteral position were measured in 26 women undergoing uterine prolapse correction. Parametrial clamp tip location was also measured.
Results: The cervix lay between 0 and –14.5 cm (below) the hymen (mean ± SD –5.35 ± 3.96 cm) and the ureters lay +5.0 to –4.0 cm (mean ± SD +1.89 ± 1.99 cm). Correlation of ureteral with cervical position was 0.69 (
P < .01) and correlation with ipsilateral uterosacral ligament clamp positions was 0.80 (
P < .01). Regression line slope relating cervical descent and cervix to ureter distance was 0.65, indicating that for every 3 cm of cervical descent there was 2 cm widening of the gap between the cervix and ureters and 1 cm descent of the ureter.
Conclusion: For every 3 cm of cervical descent the ureters descend 1 cm, thereby widening the ureterocervical gap and permitting ligament shortening during vaginal hysterectomy. (Am J Obstet Gynecol 1998;179:1405-10.) |
| doi_str_mv | 10.1016/S0002-9378(98)70002-X |
| format | Article |
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Study Design: Cervical and ureteral position were measured in 26 women undergoing uterine prolapse correction. Parametrial clamp tip location was also measured.
Results: The cervix lay between 0 and –14.5 cm (below) the hymen (mean ± SD –5.35 ± 3.96 cm) and the ureters lay +5.0 to –4.0 cm (mean ± SD +1.89 ± 1.99 cm). Correlation of ureteral with cervical position was 0.69 (
P < .01) and correlation with ipsilateral uterosacral ligament clamp positions was 0.80 (
P < .01). Regression line slope relating cervical descent and cervix to ureter distance was 0.65, indicating that for every 3 cm of cervical descent there was 2 cm widening of the gap between the cervix and ureters and 1 cm descent of the ureter.
Conclusion: For every 3 cm of cervical descent the ureters descend 1 cm, thereby widening the ureterocervical gap and permitting ligament shortening during vaginal hysterectomy. (Am J Obstet Gynecol 1998;179:1405-10.)</description><identifier>ISSN: 0002-9378</identifier><identifier>DOI: 10.1016/S0002-9378(98)70002-X</identifier><identifier>PMID: 9855573</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Adult ; Aged ; Anthropometry ; Cervix Uteri - pathology ; Female ; Humans ; Hysterectomy, Vaginal ; Ligaments - pathology ; Ligaments - surgery ; Middle Aged ; Regression Analysis ; Ureter ; Ureter - pathology ; ureteral injury ; uterine prolapse ; Uterine Prolapse - pathology ; Uterine Prolapse - surgery</subject><ispartof>American journal of obstetrics and gynecology, 1998-12, Vol.179 (6), p.1405-1410</ispartof><rights>1998 Mosby, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-33d9260d6cdb04b854719ecd7629857dba306bcc91b9570ed83eeb385e8093db3</citedby><cites>FETCH-LOGICAL-c360t-33d9260d6cdb04b854719ecd7629857dba306bcc91b9570ed83eeb385e8093db3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0002-9378(98)70002-X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9855573$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DeLancey, John O.L.</creatorcontrib><creatorcontrib>Strohbehn, Kris</creatorcontrib><creatorcontrib>Aronson, Michael P.</creatorcontrib><title>Comparison of ureteral and cervical descents during vaginal hysterectomy for uterine prolapse</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective: The study measured ureteral and cervical locations during vaginal hysterectomy for prolapse and the extent of parametrial ligament shortening possible.
Study Design: Cervical and ureteral position were measured in 26 women undergoing uterine prolapse correction. Parametrial clamp tip location was also measured.
Results: The cervix lay between 0 and –14.5 cm (below) the hymen (mean ± SD –5.35 ± 3.96 cm) and the ureters lay +5.0 to –4.0 cm (mean ± SD +1.89 ± 1.99 cm). Correlation of ureteral with cervical position was 0.69 (
P < .01) and correlation with ipsilateral uterosacral ligament clamp positions was 0.80 (
P < .01). Regression line slope relating cervical descent and cervix to ureter distance was 0.65, indicating that for every 3 cm of cervical descent there was 2 cm widening of the gap between the cervix and ureters and 1 cm descent of the ureter.
Conclusion: For every 3 cm of cervical descent the ureters descend 1 cm, thereby widening the ureterocervical gap and permitting ligament shortening during vaginal hysterectomy. (Am J Obstet Gynecol 1998;179:1405-10.)</description><subject>Adult</subject><subject>Aged</subject><subject>Anthropometry</subject><subject>Cervix Uteri - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>Hysterectomy, Vaginal</subject><subject>Ligaments - pathology</subject><subject>Ligaments - surgery</subject><subject>Middle Aged</subject><subject>Regression Analysis</subject><subject>Ureter</subject><subject>Ureter - pathology</subject><subject>ureteral injury</subject><subject>uterine prolapse</subject><subject>Uterine Prolapse - pathology</subject><subject>Uterine Prolapse - surgery</subject><issn>0002-9378</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtOwzAQRb0AlVL4hEpeIVgEnDgPe4VQxUuqxAKQukGWY0-KURIHO6nUv8dpq25ZWXfmju_MQWgek9uYxPndOyEkiTgt2DVnN8VOrU7Q9Fg-Q-fe_4wy4ckETTjLsqygU_S1sE0nnfG2xbbCg4MenKyxbDVW4DZGBaHBK2h7j_XgTLvGG7k2bah_b31wg-pts8WVdXgI0rSAO2dr2Xm4QKeVrD1cHt4Z-nx6_Fi8RMu359fFwzJSNCd9RKnmSU50rnRJ0pJlaRFzULrIk7BooUtJSV4qxeOSZwUBzShASVkGjHCqSzpDV_t_Q_DvAL4XjQkr17VswQ5e5JywNEnzYMz2RuWs9w4q0TnTSLcVMREjSrFDKUZmgjOxQylWYW5-CBjKBvRx6sAx9O_3fQhXbgw44ZWBVoE2Ix-hrfkn4Q8NRYeS</recordid><startdate>19981201</startdate><enddate>19981201</enddate><creator>DeLancey, John O.L.</creator><creator>Strohbehn, Kris</creator><creator>Aronson, Michael P.</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19981201</creationdate><title>Comparison of ureteral and cervical descents during vaginal hysterectomy for uterine prolapse</title><author>DeLancey, John O.L. ; Strohbehn, Kris ; Aronson, Michael P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-33d9260d6cdb04b854719ecd7629857dba306bcc91b9570ed83eeb385e8093db3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anthropometry</topic><topic>Cervix Uteri - pathology</topic><topic>Female</topic><topic>Humans</topic><topic>Hysterectomy, Vaginal</topic><topic>Ligaments - pathology</topic><topic>Ligaments - surgery</topic><topic>Middle Aged</topic><topic>Regression Analysis</topic><topic>Ureter</topic><topic>Ureter - pathology</topic><topic>ureteral injury</topic><topic>uterine prolapse</topic><topic>Uterine Prolapse - pathology</topic><topic>Uterine Prolapse - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DeLancey, John O.L.</creatorcontrib><creatorcontrib>Strohbehn, Kris</creatorcontrib><creatorcontrib>Aronson, Michael P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DeLancey, John O.L.</au><au>Strohbehn, Kris</au><au>Aronson, Michael P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of ureteral and cervical descents during vaginal hysterectomy for uterine prolapse</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1998-12-01</date><risdate>1998</risdate><volume>179</volume><issue>6</issue><spage>1405</spage><epage>1410</epage><pages>1405-1410</pages><issn>0002-9378</issn><abstract>Objective: The study measured ureteral and cervical locations during vaginal hysterectomy for prolapse and the extent of parametrial ligament shortening possible.
Study Design: Cervical and ureteral position were measured in 26 women undergoing uterine prolapse correction. Parametrial clamp tip location was also measured.
Results: The cervix lay between 0 and –14.5 cm (below) the hymen (mean ± SD –5.35 ± 3.96 cm) and the ureters lay +5.0 to –4.0 cm (mean ± SD +1.89 ± 1.99 cm). Correlation of ureteral with cervical position was 0.69 (
P < .01) and correlation with ipsilateral uterosacral ligament clamp positions was 0.80 (
P < .01). Regression line slope relating cervical descent and cervix to ureter distance was 0.65, indicating that for every 3 cm of cervical descent there was 2 cm widening of the gap between the cervix and ureters and 1 cm descent of the ureter.
Conclusion: For every 3 cm of cervical descent the ureters descend 1 cm, thereby widening the ureterocervical gap and permitting ligament shortening during vaginal hysterectomy. (Am J Obstet Gynecol 1998;179:1405-10.)</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>9855573</pmid><doi>10.1016/S0002-9378(98)70002-X</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0002-9378 |
| ispartof | American journal of obstetrics and gynecology, 1998-12, Vol.179 (6), p.1405-1410 |
| issn | 0002-9378 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Aged Anthropometry Cervix Uteri - pathology Female Humans Hysterectomy, Vaginal Ligaments - pathology Ligaments - surgery Middle Aged Regression Analysis Ureter Ureter - pathology ureteral injury uterine prolapse Uterine Prolapse - pathology Uterine Prolapse - surgery |
| title | Comparison of ureteral and cervical descents during vaginal hysterectomy for uterine prolapse |
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