caa a22 4500 475811178 CHVBK 20180406123759.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/s001920050010 doi (NATIONALLICENCE)springer-10.1007/s001920050010 Characterizing and Reporting Pelvic Floor Defects: the Revised New York Classification System [Elektronische Daten] [R. J. Scotti, R. Flora, W. M. Greston, L. Budnick, J. Hutchinson-Colas] Abstract:: The authors have devised a conceptual model and reporting system for characterizing, grading and staging pelvic floor defects. The system is user friendly and simple to learn and apply. It is based on commonly known anatomic landmarks and can be performed without memorizing or referring to a separate characterization and reporting plan. Completing the accompanying forms is self-explanatory and provides the information needed for proper comprehension and recording of anatomic defects. The model and reporting format have been used at our institutions for 5 years by medical students, residents, fellows and attendings. It has several advantages over the Pelvic Organ Prolapse Quantitation (POPQ) system: (1) it uses known anatomic landmarks rather than alphabetic labels; (2) it grades lateral wall defects which the POPQ system omits; (3) it recognizes and reports isolated defects or tears which present as bulges in the vaginal walls without downward linear descent (prolapse); (4) it uses a one-page reporting form and a one-page checklist and vaginal profile; (5) it can be done easily in both the supine and the standing positions; (6) it requires simple instruments and a disposable measuring tape available in most office settings; (7) it includes urethral hypermobility in its reporting scheme; (8) it includes cervical length, perineal descent and other measurements in its reporting scheme; and (9) it is similar enough to the POPQ system that easy conversion to, and integration with, the POPQ reporting form and vaginal profile is possible. Prospective trials testing the validity of this system and comparing it with the POPQ system for validity, reliability, reproducibility, test-retest analysis, and interobserver and intraobserver variance are warranted. Springer-Verlag London Limited, 2000 Key words:Pelvic floor defects nationallicence Pelvic prolapse nationallicence Pelvic prolapse terminology nationallicence Prolapse grading nationallicence Prolapse staging nationallicence Scotti R. J. Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA, USA aut Flora R. Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA, USA aut Greston W. M. Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA, USA aut Budnick L. Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA, USA aut Hutchinson-Colas J. Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA, USA aut International Urogynecology Journal Springer-Verlag 11/1(2000-01-01), 48-60 0937-3462 11:1<48 2000 11 192 https://doi.org/10.1007/s001920050010 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s001920050010 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Scotti R. J. Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA, USA aut NATIONALLICENCE 700 1- Flora R. Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA, USA aut NATIONALLICENCE 700 1- Greston W. M. Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA, USA aut NATIONALLICENCE 700 1- Budnick L. Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA, USA aut NATIONALLICENCE 700 1- Hutchinson-Colas J. Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA, USA aut NATIONALLICENCE 773 0- International Urogynecology Journal Springer-Verlag 11/1(2000-01-01), 48-60 0937-3462 11:1<48 2000 11 192 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer