<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412019000900583</article-id>
<article-id pub-id-type="doi">10.24245/gom.v87i9.3163</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Himen como punto de corte para el prolapso genital sintomático]]></article-title>
<article-title xml:lang="en"><![CDATA[Hymen as a cut-off point for symptomatic genital prolapse]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Colorado]]></surname>
<given-names><![CDATA[Esther Silvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Isarraraz]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Granados-Martínez]]></surname>
<given-names><![CDATA[Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gorbea-Chávez]]></surname>
<given-names><![CDATA[Viridiana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olvera-Delgado]]></surname>
<given-names><![CDATA[José Jonatán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>87</volume>
<numero>9</numero>
<fpage>583</fpage>
<lpage>589</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412019000900583&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412019000900583&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412019000900583&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  OBJETIVO: Evaluar el valor discriminatorio de los puntos de corte anatómicos para prolapso sintomático, en mujeres con prolapso de órganos pélvicos.  MATERIALES Y MÉTODOS:  Estudio de cohorte retrospectivo, efectuado en la Clínica de Urología ginecológica del Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, entre enero de 2013 y diciembre 2017. Criterios de inclusión: pacientes intervenidas por prolapso de órganos pélvicos, con cuantificación del prolapso de órganos pélvicos simplificado (S-POP) e interrogatorio de los síntomas del piso pélvico según la Sociedad Internacional de Continencia (ICS). Se calculó la sensibilidad, especificidad, valor predictivo positivo y área bajo la curva para puntos de corte del compartimento anterior (Ba), posterior (Bp) y apical (C).  RESULTADOS: Se incluyeron 174 pacientes. El síntoma de sensación de cuerpo extraño en la vagina aumentó simultáneamente conforme al grado de prolapso. Las áreas bajo la curva (AUC) para el punto Ba fueron: 0.73 (IC95% 0.65-0.81), Bp 0.63 (IC95%: 0.53-0.72) y C 0.78 (IC95%: 0.71-0.85). Al utilizar el himen como punto de corte se observó que el punto Ba tuvo sensibilidad de 0.76 y especificidad de 0.54, Bp con sensibilidad de 0.54 y especificidad 0.86 y para C el punto de corte -5 cm con respecto al himen tuvo sensibilidad de 0.66 y especificidad de 0.75.  CONCLUSIÓN: Existe un adecuado valor discriminatorio entre el himen como punto de corte para el prolapso de órganos pélvicos sintomático y sensación de cuerpo extraño en la vagina, según los criterios del sistema de cuantificación simplificado (S-POP).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  OBJECTIVE: To evaluate the discriminatory value of anatomical cut-off points for symptomatic prolapse in women with pelvic organ prolapse.  MATERIALS AND METHODS: Retrospective cohort study, conducted at the Gynecological Urology Clinic of the National Institute of Perinatology, between January 2013 and December 2017. Inclusion criteria: patients operated for pelvic organ prolapse, with simplified quantification system of pelvic organ prolapse (S-POP) and interrogation of pelvic floor symptoms according to the International Continence Society (ICS). Sensitivity, specificity, positive predictive value and area under the curve for cut-off points of the anterior (Ba), posterior (Bp) and apical (C) compartments were calculated.  RESULTS:  174 patients were included. The symptom of a foreign body sensation in the vagina increased simultaneously with the degree of prolapse. The areas under the curve (AUC) for point Ba was 0.73 (95% CI 0.65-0.81), Bp 0.63 (95% CI 0.53-0.72) and C 0.78 (95% CI 0.71-0.85). When using the hymen as a cut-off point it was observed that Ba showed a sensitivity of 0.76 and specificity of 0.54, Bp with sensitivity of 0.54 and specificity 0.86 and for C the cut-off point of -5 cm with respect to the hymen had sensitivity of 0.66 and specificity of 0.75.  CONCLUSION:  There is adequate discriminatory value between the hymen as a cut-off point for symptomatic pelvic organ prolapse and foreign body sensation in the vagina, according to the criteria of the simplified quantification system (S-POP).]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Prolapso de órganos pélvicos]]></kwd>
<kwd lng="es"><![CDATA[piso pélvico]]></kwd>
<kwd lng="es"><![CDATA[sensación de cuerpo extraño]]></kwd>
<kwd lng="es"><![CDATA[himen]]></kwd>
<kwd lng="es"><![CDATA[vagina]]></kwd>
<kwd lng="en"><![CDATA[Pelvic organ prolapse]]></kwd>
<kwd lng="en"><![CDATA[Pelvic floor symptoms]]></kwd>
<kwd lng="en"><![CDATA[Foreign body sensation]]></kwd>
<kwd lng="en"><![CDATA[Hymen]]></kwd>
<kwd lng="en"><![CDATA[Vagina]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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