Pelvic magnetic resonance imaging for assessment of the efficacy of the Prolift system for pelvic organ prolapse.

Autor: Kasturi S; Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Indianapolis, IN, USA., Lowman JK, Kelvin FM, Akisik FM, Terry CL, Hale DS
Jazyk: angličtina
Zdroj: American journal of obstetrics and gynecology [Am J Obstet Gynecol] 2010 Nov; Vol. 203 (5), pp. 504.e1-5. Date of Electronic Publication: 2010 Aug 05.
DOI: 10.1016/j.ajog.2010.06.034
Abstrakt: Objective: The purpose of this study was to compare pre- and postoperative pelvic organ prolapse-quantification (POP-Q) and magnetic resonance imaging (MRI) measurements in patients who undergo total Prolift (Ethicon, Inc, Somerville, NJ) colpopexy.
Study Design: Pre- and postoperative MRI and POP-Q examinations were performed on patients with stage 2 or greater prolapse who underwent the Prolift procedure. MRI measurements were taken at maximum descent. Correlations between changes in MRI and POP-Q measurements were determined.
Results: Ten subjects were enrolled. On MRI, statistically significant changes were seen with cystocele, enterocele, and apex. Statistically significant changes were seen on POP-Q measurements for Aa, Ba, C, Ap, Bp, and GH. Positive correlations were demonstrated between POP-Q and MRI changes. Minimal tissue reaction was seen on MRI.
Conclusion: The Prolift system is effective in the surgical management of pelvic organ prolapse as measured by POP-Q and MRI. Postoperative MRIs support the inert nature of polypropylene mesh.
(Copyright © 2010 Mosby, Inc. All rights reserved.)
Databáze: MEDLINE
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