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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Hauptverfasser: Brocker, Kerstin A. (VerfasserIn) , Alt, Celine D. (VerfasserIn) , Corteville, Caroline (VerfasserIn) , Hallscheidt, Peter (VerfasserIn) , Lenz, Florian (VerfasserIn) , Sohn, Christof (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 3 April 2011
In: European journal of obstetrics & gynecology and reproductive biology
Year: 2011, Jahrgang: 157, Heft: 1, Pages: 107-112
ISSN:1872-7654
DOI:10.1016/j.ejogrb.2011.02.006
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.ejogrb.2011.02.006
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0301211511001187
Volltext
Verfasserangaben:Kerstin A. Brocker, Celine D. Alt, Caroline Corteville, Peter Hallscheidt, Florian Lenz, Christof Sohn

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520 |a 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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