Journalartikel
Autorenliste: Gufler, H; DeGregorio, G; Dohnicht, S; Allmann, KH; Rohr-Reyes, A
Jahr der Veröffentlichung: 2002
Seiten: 734-739
Zeitschrift: Journal of Computer Assisted Tomography
Bandnummer: 26
Heftnummer: 5
ISSN: 0363-8715
DOI Link: https://doi.org/10.1097/00004728-200209000-00012
Verlag: Lippincott, Williams & Wilkins
Purpose: The purpose of this work was to compare dynamic MRI measurement results from patients with pelvic organ prolapse before and after surgical repair and to correlate postoperative MRI findings with the results of physical examination and patients' complaints. Materials and Methods: Thirty women were included in this prospective study. Fifteen patients with uterovaginal or vaginal vault descent and 15 asymptomatic female volunteers underwent dynamic MRI using a single-shot, fast spin-echo sequence with half-Fourier data acquisition. Single-slice midsagittal images of pelvic organs were obtained at maximal pelvic strain and at perineal contraction. Dynamic MRI was repeated on all patients 2-4 months after surgical repair. Postoperative and preoperative dynamic MRIs were compared with the normal values of the volunteer group. Postoperative MRIs were correlated with the clinical findings after surgical repair. Results: Seven patients reported symptoms after surgical repair, although only two had pathologic findings on physical examination (residual urine associated with third-degree stress urinary incontinence, and bladder neck descent). MRI showed pathologic changes in five of these patients. Two patients with persistent first-de,gee stress incontinence had no pathologic findings on MRI. Conclusion: Dynamic MRI is helpful in the evaluation of persistent patient complaints after surgery for pelvic organ prolapse and detects more defects than physical examination does.
Abstract:
Zitierstile
Harvard-Zitierstil: Gufler, H., DeGregorio, G., Dohnicht, S., Allmann, K. and Rohr-Reyes, A. (2002) Dynamic MRI after surgical repair for pelvic organ prolapse, Journal of Computer Assisted Tomography, 26(5), pp. 734-739. https://doi.org/10.1097/00004728-200209000-00012
APA-Zitierstil: Gufler, H., DeGregorio, G., Dohnicht, S., Allmann, K., & Rohr-Reyes, A. (2002). Dynamic MRI after surgical repair for pelvic organ prolapse. Journal of Computer Assisted Tomography. 26(5), 734-739. https://doi.org/10.1097/00004728-200209000-00012
Schlagwörter
FLOOR DESCENT; Magnetic Resonance Imaging; pelvic floor descent; pelvic organ prolapse; urinary incontinence; URINARY STRESS-INCONTINENCE; WOMEN
