Observational studyInternational urogynecology journal2026
The Uncorrected Defect: A Risk Stratification Model for Persistent Levator Ballooning Following Pelvic Organ Prolapse Repair.
Observational study in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
objectiveTo develop and validate a multivariable prediction model capable of identifying patients at high risk of persistent levator hiatus ballooning 3 months following primary POP reconstructive surgery.
methodA prospective observational study was conducted on a consecutive cohort of 140 women undergoing primary surgery for symptomatic POP (POP-Q stage ≥ 2). All patients underwent a standardized transperineal ultrasound assessment preoperatively and at 3 months postoperatively. Ballooning was defined as a levator hiatus area (LHA) of ≥ 25 cm
resultsAlthough surgery resulted in a significant mean reduction of the LHA on straining (from 29.60 ± 8.30 cm
conclusionsSurgical correction of POP reduces hiatal dimensions but fails to correct levator ballooning in the majority of patients. We developed a highly accurate predictive model that identifies this "uncorrected defect" using preoperative resting biometry. Identifying this high-risk phenotype is crucial for patient counseling and managing expectations regarding long-term recurrence.
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