Hiatal failure: effects of pregnancy, delivery, and pelvic floor disorders on level III factors

Imagem de Miniatura
Arquivos
art_CHENG_Hiatal_failure_effects_of_pregnancy_delivery_and_pelvic_2023.PDF (2.41 MB)
Citações na Scopus
5
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER LONDON LTD
Autores
CHENG, Wenjin
ENGLISH, Emily
HORNER, Whitney
SWENSON, Carolyn W.
CHEN, Luyun
ASHTON-MILLER, James A.
DELANCEY, John O. L.
Citação
INTERNATIONAL UROGYNECOLOGY JOURNAL, v.34, n.2, p.327-343, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Introduction and hypothesis The failure of the levator hiatus (LH) and urogenital hiatus (UGH) to remain closed is not only associated with pelvic floor disorders, but also contributes to recurrence after surgical repair. Pregnancy and vaginal birth are key events affecting this closure. An understanding of normal and failed hiatal closure is necessary to understand, manage, and prevent pelvic floor disorders. Methods This narrative review was conducted by applying the keywords ""levator hiatus"" OR ""genital hiatus"" OR ""urogenital hiatus"" in PubMed. Articles that reported hiatal size related to pelvic floor disorders and pregnancy were chosen. Weighted averages for hiatal size were calculated for each clinical situation. Results Women with prolapse have a 22% and 30% larger LH area measured by ultrasound at rest and during Valsalva than parous women with normal support. Women with persistently enlarged UGH have 2-3 times higher postoperative failure rates after surgery for prolapse. During pregnancy, the LH area at Valsalva increases by 29% from the first to the third trimester in preparation for childbirth. The enlarged postpartum hiatus recovers over time, but does not return to nulliparous size after vaginal birth. Levator muscle injury during vaginal birth, especially forceps-assisted, is associated with increases in hiatal size; however, it only explains a portion of hiatus variation-the rest can be explained by pelvic muscle function and possibly injury to other level III structures. Conclusions Failed hiatal closure is strongly related to pelvic floor disorders. Vaginal birth and levator injury are primary factors affecting this important mechanism.
Palavras-chave
Urogenital hiatus, Levator hiatus, Pregnancy, Vaginal delivery, Pelvic floor disorders
URI
https://observatorio.fm.usp.br/handle/OPI/53138
Referências
  1. Abdool Z, 2017, ULTRASOUND OBST GYN, V50, P242, DOI 10.1002/uog.17297
  2. Abdool Z, 2018, INT UROGYNECOL J, V29, P745, DOI 10.1007/s00192-017-3391-7
  3. Albrich SB, 2012, BJOG-INT J OBSTET GY, V119, P51, DOI 10.1111/j.1471-0528.2011.03152.x
  4. Alperin M, 2015, AM J OBSTET GYNECOL, V213, DOI 10.1016/j.ajog.2015.05.012
  5. Alshiek J, 2019, NEUROUROL URODYNAM, V38, P1305, DOI 10.1002/nau.23979
  6. Andrew BP, 2013, AUST NZ J OBSTET GYN, V53, P74, DOI 10.1111/ajo.12026
  7. Araujo CC, 2018, INT UROGYNECOL J, V29, P1543, DOI 10.1007/s00192-018-3581-y
  8. Atan IK, 2015, BJOG-INT J OBSTET GY, V122, P867, DOI 10.1111/1471-0528.12920
  9. Barber MD, 2009, OBSTET GYNECOL, V114, P600, DOI 10.1097/AOG.0b013e3181b2b1ae
  10. Berger MB, 2018, AM J OBSTET GYNECOL, V218, DOI 10.1016/j.ajog.2018.01.033
  11. Betschart C, 2014, INT UROGYNECOL J, V25, P1263, DOI 10.1007/s00192-014-2395-9
  12. Raizada V, 2010, AM J OBSTET GYNECOL, V203, DOI 10.1016/j.ajog.2010.02.028
  13. Rodrigues AA, 2012, AM J OBSTET GYNECOL, V206, DOI 10.1016/j.ajog.2011.10.001
  14. Rodrigues AA, 2016, NEUROUROL URODYNAM, V35, P199, DOI 10.1002/nau.22691
  15. Rusavy Z, 2022, BJOG-INT J OBSTET GY, V129, P517, DOI 10.1111/1471-0528.16837
  16. Sammarco AG, 2017, AM J OBSTET GYNECOL, V217, DOI 10.1016/j.ajog.2017.07.007
  17. Sanozidis A, 2018, J MATERN-FETAL NEO M, V31, P1505, DOI 10.1080/14767058.2017.1319926
  18. Schmidt P, 2022, INT UROGYNECOL J, V33, P133, DOI 10.1007/s00192-021-04854-3
  19. Shek KL, 2016, ULTRASOUND OBST GYN, V47, P774, DOI 10.1002/uog.15811
  20. Shek KL, 2012, INT UROGYNECOL J, V23, P1561, DOI 10.1007/s00192-012-1795-y
  21. Shek KL, 2009, OBSTET GYNECOL, V113, P1272, DOI 10.1097/AOG.0b013e3181a5ef23
  22. Svabik K, 2009, BJOG-INT J OBSTET GY, V116, P1657, DOI 10.1111/j.1471-0528.2009.02321.x
  23. Shobeiri SA, 2013, BJOG-INT J OBSTET GY, V120, P205, DOI 10.1111/1471-0528.12055
  24. Siafarikas F, 2014, AM J OBSTET GYNECOL, V210, DOI 10.1016/j.ajog.2014.02.021
  25. Staer-Jensen J, 2015, OBSTET GYNECOL, V125, P531, DOI 10.1097/AOG.0000000000000645
  26. Sutkin G, 2020, AM J OBSTET GYNECOL, V222, DOI 10.1016/j.ajog.2019.08.024
  27. Swenson CW, 2020, INT UROGYNECOL J, V31, P535, DOI 10.1007/s00192-019-04063-z
  28. Toozs-Hobson P, 2008, INT UROGYNECOL J, V19, P407, DOI 10.1007/s00192-007-0455-0
  29. Tunn R, 1999, Int Urogynecol J Pelvic Floor Dysfunct, V10, P300, DOI 10.1007/s001929970006
  30. Van de Waarsenburg MK, 2018, ULTRASOUND OBST GYN, V52, P390, DOI 10.1002/uog.18976
  31. van Delft K, 2014, BJOG-INT J OBSTET GY, V121, P1164, DOI 10.1111/1471-0528.12666
  32. van Veelen A, 2014, OBSTET GYNECOL, V124, P249, DOI 10.1097/AOG.0000000000000355
  33. Vaughan MH, 2018, OBSTET GYNECOL, V131, P1137, DOI 10.1097/AOG.0000000000002593
  34. Vergeldt TFM, 2015, BJOG-INT J OBSTET GY, V122, P1130, DOI 10.1111/1471-0528.13340
  35. Visco AG, 2003, INT UROGYNECOL J PEL, V14, P136, DOI 10.1007/s00192-002-1030-3
  36. Blomquist JL, 2020, AM J OBSTET GYNECOL, V222, DOI 10.1016/j.ajog.2019.08.003
  37. Wong V, 2019, INT UROGYNECOL J, V30, P2127, DOI 10.1007/s00192-019-04062-0
  38. Xiao T, 2019, AM J ROENTGENOL, V213, P1163, DOI 10.2214/AJR.18.20893
  39. Yang JM, 2006, ULTRASOUND OBST GYN, V28, P710, DOI 10.1002/uog.3825
  40. Yousuf AA, 2009, AM J OBSTET GYNECOL, V201, DOI 10.1016/j.ajog.2009.06.048
  41. Blomquist JL, 2018, JAMA-J AM MED ASSOC, V320, P2438, DOI 10.1001/jama.2018.18315
  42. Bo K, 1999, BMJ-BRIT MED J, V318, P487, DOI 10.1136/bmj.318.7182.487
  43. Bo K, 2015, BRIT J SPORT MED, V49, P196, DOI 10.1136/bjsports-2014-093548
  44. Bo K, 2014, INT UROGYNECOL J, V25, P1357, DOI 10.1007/s00192-014-2408-8
  45. Boyd SS, 2019, OBSTET GYNECOL, V134, P1037, DOI 10.1097/AOG.0000000000003525
  46. Bradley MS, 2018, AM J OBSTET GYNECOL, V218, DOI 10.1016/j.ajog.2018.01.046
  47. Braekken IH, 2014, NEUROUROL URODYNAM, V33, P115, DOI 10.1002/nau.22384
  48. Braekken IH, 2010, OBSTET GYNECOL, V115, P317, DOI 10.1097/AOG.0b013e3181cbd35f
  49. Brandon C, 2012, ULTRASOUND OBST GYN, V39, P444, DOI 10.1002/uog.9082
  50. Bump RC, 1996, AM J OBSTET GYNECOL, V175, P10, DOI 10.1016/S0002-9378(96)70243-0
  51. Carter-Brooks CM, 2019, FEMALE PELVIC MED RE, V25, P226, DOI 10.1097/SPV.0000000000000528
  52. Caudwell-Hall J, 2017, ACTA OBSTET GYN SCAN, V96, P426, DOI 10.1111/aogs.13103
  53. Chan SSC, 2014, ULTRASOUND OBST GYN, V43, P466, DOI 10.1002/uog.13249
  54. Chen LY, 2016, OBSTET GYNECOL, V128, P853, DOI 10.1097/AOG.0000000000001652
  55. Chen RY, 2011, ARCH GYNECOL OBSTET, V284, P931, DOI 10.1007/s00404-010-1795-4
  56. Cheng WJ, 2022, INT UROGYNECOL J, V33, P107, DOI 10.1007/s00192-021-04824-9
  57. Cheung RYK, 2015, ULTRASOUND OBST GYN, V45, P599, DOI 10.1002/uog.14656
  58. David M, 2020, J GYNECOL OBSTET HUM, V49, DOI 10.1016/j.jogoh.2020.101682
  59. DeLancey JOL, 2008, J UROLOGY, V179, P2286, DOI 10.1016/j.juro.2008.01.098
  60. DeLancey JOL, 2012, INT UROGYNECOL J, V23, P73, DOI 10.1007/s00192-011-1527-8
  61. DELANCEY JOL, 1992, AM J OBSTET GYNECOL, V166, P1717, DOI 10.1016/0002-9378(92)91562-O
  62. DeLancey JOL, 1999, AM J OBSTET GYNECOL, V180, P815, DOI 10.1016/S0002-9378(99)70652-6
  63. Dietz HP, 2008, ULTRASOUND OBST GYN, V31, P676, DOI 10.1002/uog.5355
  64. Dietz HP, 2011, ULTRASOUND OBST GYN, V37, P723, DOI 10.1002/uog.8969
  65. Dietz HP, 2005, ULTRASOUND OBST GYN, V25, P580, DOI 10.1002/uog.1899
  66. Diez-Itza I, 2020, INT UROGYNECOL J, V31, P2027, DOI 10.1007/s00192-020-04468-1
  67. Dunivan GC, 2016, FEMALE PELVIC MED RE, V22, P497, DOI 10.1097/SPV.0000000000000323
  68. Durnea CM, 2019, INT J GYNECOL OBSTET, V145, P239, DOI 10.1002/ijgo.12783
  69. English EM, 2021, INT UROGYNECOL J, V32, P1545, DOI 10.1007/s00192-020-04651-4
  70. Falkert A, 2013, ULTRASOUND OBST GYN, V41, P204, DOI 10.1002/uog.11214
  71. Fuchs F, 2013, PLOS ONE, V8, DOI 10.1371/journal.pone.0077324
  72. Gachon B, 2017, INT UROGYNECOL J, V28, P1223, DOI 10.1007/s00192-016-3252-9
  73. Garcia AN, 2022, INT J GYNECOL OBSTET, V157, P96, DOI 10.1002/ijgo.13828
  74. Garcia-Mejido JA, 2017, J MATERN-FETAL NEO M, V30, P1891, DOI 10.1080/14767058.2016.1228104
  75. Geynisman-Tan J, 2021, FEMALE PELVIC MED RE, V27, pE184, DOI 10.1097/SPV.0000000000000881
  76. Ghetti C, 2005, INT UROGYNECOL J, V16, P432, DOI 10.1007/s00192-004-1274-1
  77. Guanzon A, 2018, FEMALE PELVIC MED RE, V24, P412, DOI 10.1097/SPV.0000000000000474
  78. Rojas RG, 2014, INT UROGYNECOL J, V25, P375, DOI 10.1007/s00192-013-2226-4
  79. Halban J., 1907, ANATOMIE ATIOLOGIE G
  80. Handa VL, 2008, OBSTET GYNECOL, V111, P914, DOI 10.1097/AOG.0b013e318169ce03
  81. Handa VL, 2021, FEMALE PELVIC MED RE, V27, pe448, DOI 10.1097/SPV.0000000000000960
  82. Handa VL, 2019, AM J EPIDEMIOL, V188, P2196, DOI 10.1093/aje/kwz195
  83. Handa VL, 2019, AM J OBSTET GYNECOL, V221, DOI 10.1016/j.ajog.2019.03.004
  84. Handa VL, 2019, FEMALE PELVIC MED RE, V25, P3, DOI 10.1097/SPV.0000000000000644
  85. Handa VL, 2020, FEMALE PELVIC MED RE, V26, P56, DOI 10.1097/SPV.0000000000000641
  86. Harrison, 1988, CLIN ANAT, V1, P267, DOI 10.1002/ca.980010404
  87. Haylen BT, 2015, INT UROGYNECOL J, V26, P539, DOI 10.1007/s00192-014-2528-1
  88. Haylen BT, 2014, INT UROGYNECOL J, V25, P1665, DOI 10.1007/s00192-014-2433-7
  89. Hsu Y, 2006, AM J OBSTET GYNECOL, V194, P1427, DOI 10.1016/j.ajog.2006.01.055
  90. Jelovsek JE, 2021, AM J OBSTET GYNECOL, V225, DOI 10.1016/j.ajog.2021.06.068
  91. Jing DJ, 2012, J BIOMECH, V45, P455, DOI 10.1016/j.jbiomech.2011.12.002
  92. Jones K, 2008, OBSTET GYNECOL, V112, P630, DOI 10.1097/AOG.0b013e318181879f
  93. Kearney R, 2004, OBSTET GYNECOL, V104, P168, DOI 10.1097/01.AOG.0000128906.61529.6b
  94. Kearney R, 2010, INT J GYNECOL OBSTET, V111, P19, DOI 10.1016/j.ijgo.2010.05.019
  95. Khunda A, 2012, AM J OBSTET GYNECOL, V206, DOI 10.1016/j.ajog.2011.10.876
  96. Kikuchi JY, 2021, INT UROGYNECOL J, V32, P2111, DOI 10.1007/s00192-021-04680-7
  97. LAWSON JON, 1974, ANN ROY COLL SURG, V54, P244
  98. Lewicky-Gaupp C, 2010, AM J OBSTET GYNECOL, V202, DOI 10.1016/j.ajog.2010.01.020
  99. Lisonkova S, 2016, AM J OBSTET GYNECOL, V215, DOI 10.1016/j.ajog.2016.02.027
  100. Lowder JL, 2016, AM J OBSTET GYNECOL, V214, DOI 10.1016/j.ajog.2015.12.027
  101. Lu R, 2018, Zhonghua Yi Xue Za Zhi, V98, P2675, DOI 10.3760/cma.j.issn.0376-2491.2018.33.013
  102. Sanchez-Ferrer ML, 2018, JOVE-J VIS EXP, DOI 10.3791/57912
  103. Majida M, 2012, INT UROGYNECOL J, V23, P707, DOI 10.1007/s00192-011-1652-4
  104. Memon HU, 2015, OBSTET GYNECOL, V125, P1080, DOI 10.1097/AOG.0000000000000825
  105. Miller JM, 2010, AM J ROENTGENOL, V195, P786, DOI 10.2214/AJR.09.3508
  106. Murad-Regadas SM, 2014, COLORECTAL DIS, V16, P1010, DOI 10.1111/codi.12740
  107. Murad-Regadas SM, 2017, INT J COLORECTAL DIS, V32, P499, DOI 10.1007/s00384-016-2750-z
  108. Nandikanti L, 2019, INT UROGYNECOL J, V30, P1457, DOI 10.1007/s00192-019-04006-8
  109. Nardos R, 2014, FEMALE PELVIC MED RE, V20, P216, DOI 10.1097/SPV.0000000000000079
  110. Oliphant SS, 2014, AM J OBSTET GYNECOL, V211, DOI 10.1016/j.ajog.2014.06.021
  111. Ouchi M, 2019, NEUROUROL URODYNAM, V38, P1363, DOI 10.1002/nau.23987
  112. Ow LL, 2019, FEMALE PELVIC MED RE, V25, P415, DOI 10.1097/SPV.0000000000000608
  113. Pipitone F, 2021, INT UROGYNECOL J, V32, P2413, DOI 10.1007/s00192-021-04795-x
  114. Pipitone F, 2021, INT UROGYNECOL J, V32, P1779, DOI 10.1007/s00192-020-04441-y

Coleções
Artigos e Materiais de Revistas Científicas - FM/Outros
Artigos e Materiais de Revistas Científicas - LIM/58