TRANSPERINEAL ULTRASOUND IN DETECTION OF UTERINE PROLAPSE
Salama Najem Jassim¹, Firas Abdullah AlBaghdadi1, Wassan Raheem Mubark Al Khafajy2
1 - Department of Radiology, College of Medicine, University of Thi-Qar. Dhi-Qar, Iraq.
2 - Department of Gynecology, College of Medicine, University of Thi-Qar. Dhi-Qar, Iraq.
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t has been shown that pelvic floor ultrasonography is helpful in diagnosing pelvic organ prolapse.
Purpose. To determine the optimal cut-off to define abnormal uterine descent on transperineal ultrasound.
Materials and methods. A prospective observational study that was conducted at Bint Al-Huda Teaching Hospital in Dhi-Qar Province during the period of 11 months from 1st of April 2024 till 1st of March 2025. It included 55 married females with sign and symptom of pelvic pain and incontinence who underwent clinical examination by well experienced gynecologist and two-dimensional transperineal ultrasound examination by a radiologist.
Results. Regarding transperineal ultrasound findings in diagnosing uterine prolapse, the sensitivity was 93.9%, the specificity was 86.4%, while the accuracy was 90.9%. The cut point of uterine position was 5.16 mm. Hence, uterine position> 5.16 mm below the symphysis is predictive for uterine prolapse.
Discussion. This study reported that uterine position relative to the posteroinferior margin of the symphysis pubis was significantly higher in patients with UP than in those without. This results agreed with results found by Wu M et al. study in 2021 and Shek KL et al. study in 2015. This study showed that the cut point of uterine position was 5.16 mm. Hence, uterine position > 5.16 mm below symphysis pubis is predictive for UP. Close results were found in Chinese studies conducted by Wu M et al. and Deitz HP et al.; while Shek KL et al. study reported a different result, represented by a higher cut-off value of more than 15 mm for predicting symptoms of prolapse.
Conclusion. Transperineal ultrasound is an effective diagnostic tool in identifying UP demonstrated by its high sensitivity (93.9%) and specificity (86.4%). Transperineal ultrasound found that uterine position higher than 5.16 mm below the symphysis pubis could accurately predict the chance of uterine prolapse`.
Keywords: uterine prolapse, transperineal, ultrasound, cut off, accuracy.
Corresponding author: Salama Najem Jassim, e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript
For citation: Salama Najem Jassim, Firas Abdullah AlBaghdadi, Wassan Raheem Mubark Al Khafajy. Transperineal ultrasound in detection of uterine prolapse. REJR 2025; 15(3):174-181. DOI: 10.21569/2222-7415-2025-15-3-174-181.
Received: 12.05.25 Accepted: 25.06.25