Does pre-operative traction on the cervix approximate intra-operative uterine prolapse? A randomised controlled trial

Fay Chao, Anna Rosamilia, Peter Dwyer, Alex Polyakov, Lore Schierlitz, Gerard Agnew

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10 Citations (Scopus)


Introduction and hypothesis: This study aims to compare pre-operative Pelvic Organ Prolapse Quantification (POP-Q) point C with and without cervical traction to that obtained intra-operatively in women undergoing pelvic organ prolapse surgery and to assess acceptability of examination with cervical traction without anaesthesia. Methods: Eighty-one women were randomised to having pre-operative examination with or without cervical traction to measure point C. Visual analogue scale (VAS) pain scores were recorded for each pre-operative examination. Comparisons were made between pre-operative and intra-operative findings. Results: The mean difference between pre-operative and intra-operative point C in the non-traction group was statistically higher than in the traction group (3.2 vs 1.6 cm, p0 0.0001). The level of agreement between pre-operative point C measurement with traction and intra-operative point C measurement was better than pre-operative point C measurement without traction and intra-operative point C measurement on Bland and Altman plots. Women having cervical traction reported significantly greater pain score on the VAS (3.4 vs. 1.2, p
Original languageEnglish
Pages (from-to)417 - 422
Number of pages6
JournalInternational Urogynecology Journal
Issue number4
Publication statusPublished - 2012
Externally publishedYes

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