Short-range clinical, dynamic magnetic resonance imaging and P-QOL questionnaire results after mesh repair in female pelvic organ prolapse
Objective - To evaluate clinical, quality-of-life (QoL) and dynamic magnetic resonance imaging (dMRI) results in patients with pelvic organ prolapse (POP) preoperatively, and 4 and 12 weeks after anterior and/or posterior mesh repair. - Study design - Thirty-six patients (mean age 65 years) with sym...
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| Main Authors: | , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
3 April 2011
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| In: |
European journal of obstetrics & gynecology and reproductive biology
Year: 2011, Volume: 157, Issue: 1, Pages: 107-112 |
| ISSN: | 1872-7654 |
| DOI: | 10.1016/j.ejogrb.2011.02.006 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.ejogrb.2011.02.006 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0301211511001187 
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| Author Notes: | Kerstin A. Brocker, Celine D. Alt, Caroline Corteville, Peter Hallscheidt, Florian Lenz, Christof Sohn |
| Summary: | Objective - To evaluate clinical, quality-of-life (QoL) and dynamic magnetic resonance imaging (dMRI) results in patients with pelvic organ prolapse (POP) preoperatively, and 4 and 12 weeks after anterior and/or posterior mesh repair. - Study design - Thirty-six patients (mean age 65 years) with symptomatic pelvic floor descent underwent mesh repair. The prolapse was quantified using the POP-Q system. Before surgery as well as 4 and 12 weeks after surgery, the pelvic organ positions were measured on dynamic magnetic resonance imaging during Valsalva manoeuvre in relation to the pubococcygeal and mid-pubic lines to assess surgery outcome. Patients also completed the P-QOL questionnaire to evaluate subjective changes at each visit. - Results - Four and 12 weeks after surgery patients showed improvement of the POP on clinical examination and on dynamic MRI. The latter demonstrated high significance (p<0.001) especially in bladder and vaginal cuff/cervix positions during maximal straining. All quality-of-life domains and some symptom questions of the P-QOL questionnaire significantly improved (p<0.05) 12 weeks after surgery. - Conclusion - Significant anatomical and quality-of-life improvement was demonstrated after anterior and/or posterior mesh repair for POP using dynamic MRI and the P-QOL questionnaire. |
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| Item Description: | Gesehen am 23.06.2022 |
| Physical Description: | Online Resource |
| ISSN: | 1872-7654 |
| DOI: | 10.1016/j.ejogrb.2011.02.006 |