Description

Baden et al developed the Vaginal Profile to describe various combination of vaginal relaxation.


 

Parameters:

(A) urethrocele

(B) cystocele

(C) uterine prolpase

(D) enterocele (more commonly posterior, may be anterior)

(E) rectocele

(F) chronic peritoneal laceration

Parameter

Finding

Grade

urethrocele

normal

0

 

up to halfway to the hymenal ring

1

 

from halfway up to hymenal ring

2

 

from hymenal ring to half of maximum descent

3

 

maximal descent through the hymenal ring

4

cystocele

normal

0

 

up to halfway to the hymenal ring

1

 

from halfway up to hymenal ring

2

 

from hymenal ring to half of maximum descent

3

 

maximal descent through the hymenal ring

4

uterine prolapse

normal

0

 

up to halfway to the hymenal ring

1

 

from halfway up to hymenal ring

2

 

from hymenal ring to half of maximum descent

3

 

maximal descent through the hymenal ring

4

enterocele

normal

0

 

1-25% of the distance to the hymenal ring

1

 

26-50% of the distance to hymenal ring

2

 

51-75% of the distance to the hymenal ring

3

 

> 75% of the distance to the hymenal ring

4

rectocele

normal

0

 

up to halfway to the hymenal ring

1

 

from halfway up to hymenal ring

2

 

from hymenal ring to half of maximum descent

3

 

maximal descent through the hymenal ring

4

chronic peritoneal laceration

normal

0

 

up to anterior half of the perineal body

1

 

up to the entire perineal body but not the anal sphincter

2

 

involves the anal sphincter

3

 

involves rectal mucosa

4

 

The profile is reported in pairs: A-B C-D E-F, with 0-0 0-0 0-0 normal.

 


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