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Related Experiment Video

Updated: Apr 22, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
03:49

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System

Published on: September 20, 2018

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Perineorrhaphy quantitative assessment (Pe-QA).

Bernard T Haylen1, Mayada Younis, Sushen Naidoo

  • 1St. Vincent's Clinic, 438 Victoria Street, Darlinghurst, NSW, Australia, bernard@haylen.co.

International Urogynecology Journal
|October 18, 2014
PubMed
Summary

Perineorrhaphy (Pe) can be quantitatively assessed, enabling comparisons between surgical techniques. This study introduces a quantitative assessment (Pe-QA) for perineorrhaphy during posterior repair, measuring key anatomical changes.

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Area of Science:

  • Female pelvic medicine and reconstructive surgery
  • Surgical anatomy
  • Quantitative medical assessment

Background:

  • Perineorrhaphy (Pe) lacks comprehensive perioperative quantitative assessment (QA).
  • Standardized QA is needed to evaluate Pe and compare surgical outcomes.
  • This study introduces a novel quantitative assessment for Pe (Pe-QA).

Purpose of the Study:

  • To develop and test a perioperative quantitative assessment (Pe-QA) for perineorrhaphy (Pe).
  • To apply Pe-QA to the excision of the perineal gap (PG) during posterior repair (PR).
  • To establish a baseline for comparing different Pe techniques.

Main Methods:

  • Quantitative measurements of perineorrhaphy width (PW), depth (PD), perineal length (PL), midperineal thickness (MPT), genital hiatus (GH), and total posterior vaginal length (TPVL) were taken pre- and postoperatively.
  • Measurements were performed on 50 consecutive posterior repairs (PR).
  • Surgical details relevant to each repair were recorded.

Main Results:

  • Excision of the perineal gap (PG) in 100% of cases reduced PW and PD to zero.
  • A mean 23.6% increase in total vaginal length was observed.
  • Significant changes included a 30.8% reduction in GH, 27.6% increase in PL, and 57.1% increase in MPT.

Conclusions:

  • Perineorrhaphy and its anatomical outcomes are amenable to quantitative assessment.
  • This quantitative assessment (Pe-QA) allows for comparative studies of different perineorrhaphy techniques.
  • The findings support the use of Pe-QA for evaluating various perineal surgeries.