Peran Hiatus Genitalis, Badan Perineum dan Penjumlahannya dari Pemeriksaan Pop-Q pada Luas Area Hiatus Levator Maksimal pada Perempuan dengan Prolaps Organ Panggul Simtomatik

Objective : To provide data on the correlation of levator hiatus area measurements in symptomatic POP using 3D / 4D Ultrasound with clinical examination of Gh, Pb and summation (Gh+Pb). Methods : Secondary data analysis of 160 POP patients examined from January 2012 to April 2017 at the Urogynecology Clinic of Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia. Patient characteristics, maximum 3D / 4D Ultrasound measurement of Levator Hiatus Area, and clinical measurement results using pelvic organ prolapse quantification system (POP-Q) were recorded. Results : There was a positive correlation between clinical examination and measurement of hiatal area area using ultrasound with r = 0.43 for Gh length, and the medium correlation on the sum of Gh and Pb with r = 0,51. No correlation for Pb length with r = 0.23. The optimal cut to differentiate degrees 2 by 3 is 7.5 cm / 29.7 cm²and degree 3 by 4 is 8.3 cm / 32.1 cm²Conclusions : Clinical examination by summing the lengths of Gh and Pb may be consider refiects the examination of the hiatal area by using transperineal ultrasound to see the strain on levator ani called "ballooning" in an area with limited resources.