Anatomical Distance From the Cervicovaginal Junction to the Uterovesical Peritoneal Reflection. Issue 1 (January 2021)

• Record Type: Journal Article
• Authors: Liu, Xiaochun; Guo, Zhuodan; Yu, Bing; Wang, Wenzhen; Hao, Qian; Wang, Wenyan; Wen, Yaling
• Is Part Of: Female pelvic medicine & reconstructive surgery. Volume 27:Issue 1(2021)
• Publication Date: 2021-01
• Subjects: anatomical distance -- cervicovaginal junction -- uterovesical peritoneal reflection -- total vaginal hysterectomy; Pelvis -- Diseases -- Periodicals; Pelvis -- Surgery -- Periodicals; Genital Diseases, Female -- surgery -- Periodicals; Urologic Diseases -- surgery -- Periodicals; Colonic Diseases -- surgery -- Periodicals; Rectal Diseases -- surgery -- Periodicals; Surgical Procedures, Operative -- methods -- Periodicals; 616.6
• DOI: 10.1097/SPV.0000000000000878
• Languages: English
• ISSNs: 2151-8378

Abstract

Abstract : Objective: The objective of this study was to measure the anatomical distance from the cervicovaginal junction to the uterovesical peritoneal reflection (CJ-PR). Methods: A total of 120 hysterectomy patients were selected as study subjects. The uterus was removed, and the CJ-PR distance was immediately measured. For total vaginal hysterectomy, measurement was performed intraoperatively. The cervical length was also measured postoperatively. Results: The median (interquartile) CJ-PR distance for all subjects was 3.3 (2.9–3.7) cm. Comparison of premenopausal and postmenopausal women without prolapse revealed median CJ-PR distances of 3.3 (3.0–3.6) cm and 3.0 (2.6–3.4) cm, respectively. The CJ-PR distance was longer in women with prolapse (4.6 [3.7–5.6] cm) than in those without prolapse (3.2 [2.8–3.6] cm). The median cervical lengths were 3.1 (2.7–3.6) cm for postmenopausal patients without prolapse and 4.4 (3.6–5.8) cm for postmenopausal patients with prolapse. Conclusions: Knowledge of the CJ-PR distance may help gynecologists predict how far the uterovesical PR is from the anterior vaginal incision. Abstract : We measured the distance from the cervicovaginal junction to the uterovesical peritoneal reflection to provide gynecologists an expected incision length of the supravaginal septum during transvaginal hysterectomy.