Wide Genital Hiatus (GH) and Short Perineal Body (PB) as Risk Factors for Stage III-IV Uterine Prolapse

Background: Pelvic organ prolapse (POP) is a medical condition characterized by the descent of the uterus and other pelvic organs into the vaginal lumen due to weakened pelvic floor structures, resulting in clinical manifestations such as protrusion through the vaginal canal. The incidence of POP is increasing significantly, particularly among older women. The perineal body and genital hiatus are believed to play roles in the occurrence of POP. The perineal body is a crucial component of the pelvic floor as it supports the vagina and uterus, while a wide genital hiatus is implicated in the progression and association with uterine prolapse. Understanding the dimensions of the perineal body and genital hiatus may provide new insights into the risk factors for POP. This study aims to demonstrate that a wide genital hiatus and short perineal body are risk factors for POP, particularly in cases of stage III-IV uterine prolapse. Methods: This case-control analytic study assessed the relationship between a wide genital hiatus and a short perineal body with the occurrence of POP. The case group included patients with stage III-IV uterine prolapse, while the control group comprised individuals without prolapse. Results: A narrow genital hiatus (