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

Published:August 06, 2010DOI:https://doi.org/10.1016/j.ajog.2010.06.034

      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.

      Key words

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      Linked Article

      • Correction
        American Journal of Obstetrics & GynecologyVol. 204Issue 2
        • Preview
          In an article published in the November 2010 issue of the Journal, the middle initials of 4 authors (Drs Lowman, Kelvin, and Akisik and Mr Terry) were omitted and one first name (Dr Akisik's) was misspelled.
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