Ultrasonographic study of female perineal body and its supportive function on pelvic floor

ObjectivesThe study aimed to observe, measure the size and elastic value of perineal body (PB) and assess its association with levator hiatus.MethodsDatasets were acquired in 45 nulliparous, 66 POP women and 70 postpartum women using ultrasound. The PB was measured in depth, height, and Young’s modu...

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Main Authors: Minzhi Zhou, Wen Shui, Wenkun Bai, Xing Wu, Tao Ying
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1176360/full
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author Minzhi Zhou
Wen Shui
Wenkun Bai
Xing Wu
Tao Ying
author_facet Minzhi Zhou
Wen Shui
Wenkun Bai
Xing Wu
Tao Ying
author_sort Minzhi Zhou
collection DOAJ
description ObjectivesThe study aimed to observe, measure the size and elastic value of perineal body (PB) and assess its association with levator hiatus.MethodsDatasets were acquired in 45 nulliparous, 66 POP women and 70 postpartum women using ultrasound. The PB was measured in depth, height, and Young’s modulus. The datasets were compared to assess whether there are some differences in the morphology, dimension and elastography modulus of PB among women. Pearson correlation analysis was used to evaluate the association between the morphology measurements (ΔValsalva-rest[v-r]), tissue mechanical properties (ΔValsalva-rest[v-r]) of the PB and levator hiatus area (ΔValsalva-rest[v-r]) to preliminarily explore whether PB can influence levator hiatus.ResultsFour representative manifestations of PB were presented in our study. Nulliparous women had smaller diameters and bigger Young’s modulus while postpartum women had bigger diameters and smaller Young’s modulus. POP and postpartum women had bigger levator hiatal distensibility and PB extensibility. There was no statistical association between PB measurements and levator hiatal area.ConclusionIt is feasible to observe the morphology of PB and assess the dimension and elastography modulus by high-frequency ultrasound. The manifestations and measurements of PB are influenced by parity and long-term increased abdominal pressure. Our study preliminarily shows that PB has little effect on levator hiatus area.
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spelling doaj.art-e4ac83e6073d40bf81b3e2ab528974a32023-07-26T08:38:06ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-07-011010.3389/fmed.2023.11763601176360Ultrasonographic study of female perineal body and its supportive function on pelvic floorMinzhi ZhouWen ShuiWenkun BaiXing WuTao YingObjectivesThe study aimed to observe, measure the size and elastic value of perineal body (PB) and assess its association with levator hiatus.MethodsDatasets were acquired in 45 nulliparous, 66 POP women and 70 postpartum women using ultrasound. The PB was measured in depth, height, and Young’s modulus. The datasets were compared to assess whether there are some differences in the morphology, dimension and elastography modulus of PB among women. Pearson correlation analysis was used to evaluate the association between the morphology measurements (ΔValsalva-rest[v-r]), tissue mechanical properties (ΔValsalva-rest[v-r]) of the PB and levator hiatus area (ΔValsalva-rest[v-r]) to preliminarily explore whether PB can influence levator hiatus.ResultsFour representative manifestations of PB were presented in our study. Nulliparous women had smaller diameters and bigger Young’s modulus while postpartum women had bigger diameters and smaller Young’s modulus. POP and postpartum women had bigger levator hiatal distensibility and PB extensibility. There was no statistical association between PB measurements and levator hiatal area.ConclusionIt is feasible to observe the morphology of PB and assess the dimension and elastography modulus by high-frequency ultrasound. The manifestations and measurements of PB are influenced by parity and long-term increased abdominal pressure. Our study preliminarily shows that PB has little effect on levator hiatus area.https://www.frontiersin.org/articles/10.3389/fmed.2023.1176360/fullhigh-frequency two-dimensional ultrasoundfemale perineal bodyshear wave elastographyYoung’s moduluspelvic floor dysfunction
spellingShingle Minzhi Zhou
Wen Shui
Wenkun Bai
Xing Wu
Tao Ying
Ultrasonographic study of female perineal body and its supportive function on pelvic floor
Frontiers in Medicine
high-frequency two-dimensional ultrasound
female perineal body
shear wave elastography
Young’s modulus
pelvic floor dysfunction
title Ultrasonographic study of female perineal body and its supportive function on pelvic floor
title_full Ultrasonographic study of female perineal body and its supportive function on pelvic floor
title_fullStr Ultrasonographic study of female perineal body and its supportive function on pelvic floor
title_full_unstemmed Ultrasonographic study of female perineal body and its supportive function on pelvic floor
title_short Ultrasonographic study of female perineal body and its supportive function on pelvic floor
title_sort ultrasonographic study of female perineal body and its supportive function on pelvic floor
topic high-frequency two-dimensional ultrasound
female perineal body
shear wave elastography
Young’s modulus
pelvic floor dysfunction
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1176360/full
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