Pelvic Organ Prolapse Quantifi cation Accuracy for Elongasio Cervix Diagnose in Pelvic Organ Prolapse Patients

Abstract

Pelvic Organ Prolapse Quantifi cation Accuracy for Elongasio Cervix Diagnose in Pelvic Organ Prolapse Patients Akurasi Pelvic Organ Prolapse Quantifi cation untuk Diagnosis Elongasio Serviks pada Pasien Prolaps Organ Panggul Abstract Tyas Priyatini 1 1 , Finish Fernando 1 , Lucky S. Widyakusuma , Shirley Anggraeni 3 , Kukuh Wibowo Department of Obstetrics and Gynecology Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunkusumo General Hospital, Jakarta Persahabatan Hospital, Jakarta 2 Fatmawati Hospital, Jakarta 3 Distric Hospital, Tangerang 4 Objective: To know sensitivity, specifi city and accuracy of Pelvic Organ Prolapse Quantifi cation (POP-Q) to measure cervical length for cervical elongation diagnose in Pelvic Organ Prolapse (POP) patients with gold standard was the anatomical cervical length from hysterectomy result. Methods: Diagnosis research, cross-sectional, consecutive sampling. POP-Q was taken before the operation and the anatomical cervical length was from hysterectomy result. Results: Sixty six subject, 1.5% 2 nd stage POP, 45.5% 3 stage POP, and 53.0 % 4 stage POP. Mean (± sd) age and body mass index consecutively 59.88 years (± 9.347) and 24.41 (± 3.67) kg/m 2 th . Median (min-max) cervical length POP-Q and anatomy consecutively 4 cm (1-12) and 5 cm (3-10). Sensitivity, Specifi city dan Accuracy POP-Q consecutively 79%, 58% dan 68%. Conclusions: POP-Q has good specifi city (79%) but with less sensitivity (58%) with accuracy 68% to diagnose cervical elongation in POP. Keywords: accuracy, cervical elongation, cervical length, pelvic organ prolapse, pelvic organ prolapse quantifi cation (POP-Q), sensitivity, specifi city. rd Abstrak Correspondence author. Finish Fernando. fi nish.fernando@gmail.com 4 2 Tujuan: Untuk mengetahui nilai sensitivitas, spesifi sitas dan akurasi Pelvic Organ Prolapse Quantifi cation (POP-Q) untuk menilai panjang serviks sebagai diagnosis elongasio serviks pada pasien POP dengan baku emas pengukuran anatomi serviks dari hasil histerektomi. Metode: Uji diagnosis, potong lintang, consecutive sampling. Data diambil dari pemeriksaan POP-Q dan pengukuran anatomi serviks dari hasil histerektomi. Hasil: Enam puluh enam subjek, 1,5% POP derajat 2, 45,5% POP derajat 3 dan 53,0 % POP derajat 4. Rerata(± sb)usia dan Indeks Massa Tubuh (IMT) berturut – turut 59,88 tahun (± 9,347) dan 24,41 (± 3,67) kg/m2. Median (min-maks) panjang serviks POP-Q dan anatomi berturut – turut 4 cm (1-12) dan 5 cm (3-10). Sensitivitas, spesifi sitas, dan akurasi POP-Q berturut – turut 79%, 58% dan 68%. Kesimpulan: Pemeriksaan POP-Q memiliki spesifi tas yang baik (79%) tetapi dengan sensitivitas yang kurang baik (58%) dan akurasi 68% untuk diagnosis elongasio serviks pada prolaps organ panggul. Kata kunci: akurasi, elongasio serviks, panjang serviks, prolaps organ panggul, pelvic organ prolapse quantifi cation (POP-Q), sensitivitas, spesifi sitas.