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

Seshadri Kasturi, Joye Lowman, Frederick M. Kelvin, Fateh Akisik, Colin Terry, Douglass S. Hale

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Objective: The purpose of this study was to compare pre- and postoperative pelvic organ prolapsequantification (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.

Original languageEnglish (US)
Pages (from-to)504.e1-504.e5
JournalAmerican Journal of Obstetrics and Gynecology
Volume203
Issue number5
DOIs
StatePublished - Nov 2010

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Keywords

  • mesh
  • MRI
  • prolapse
  • Prolift

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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