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POPQ system and dynamic MRI in assessment of female genital prolapse

DOI: 10.4236/ojog.2013.32045, PP. 239-242

Keywords: MRI, Pelvic Floor, Cystocele, Cystorectocele, Uterine Prolapse, Enterocele

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Abstract:

Aim: To assess the role of Magnetic resonance imaging (MRI) and pelvic organ prolapse quantification (POPQ) system in the evaluation of female pelvic organ prolapse. Design: Prospective study. Setting: TantaUniversityHospital. Patients: The study was carried out on 60 patients having clinical manifestations suggesting pelvic floor weakness. Intervention: All the patients were subjected to history taking, physical examination including POPQ, and pelvic MRI (static and dynamic) examination. Outcome measures: Quantitative measurements of genital prolapse. Results: All patients showed loss of the normal position of the perineal plate indicating generalized weakness of the whole pelvic floor muscles. Dynamic MRI exhibited pelvic floor abnormalities in 46 patients who did not show any abnormalities on the static images. Conclusion: Dynamic MRI is a helpful tool in defining the nature and quantitative measurements of pelvic organ prolapse. Also, MRI has and advantage over POPQ system in diagnosing lateral prolapse.

References

[1]  Schwartz, L.B., Panageas, E. Lange, R. Rizzo, J., Comite, F. and McCarthy, S. (1995) Female pelvis: Impact of MR imaging on treatment decisions and net cost analysis. Obstetrical & Gynecological Survey, 50, 36-38. doi:10.1097/00006254-199501000-00020
[2]  Yang, A., Mostwin, J.L., Rosenshein, N.B. and Zerhouni, E.A. (1991) Dynamic evaluation of pelvic floor descent in women using fastscan MRI and cinematic display. Radiology, 179, 25-33.
[3]  Pannu, H.K. (2003) Dynamic MR imaging of female organ prolapse. Radiologic Clinics of North America, 41, 409-423. doi:10.1016/S0033-8389(02)00120-3
[4]  Bump, R.C., Mattiasson, A., Bo, K., Brubaker, L.P., Delancey, J.O., Klarskov, P., Shull, B.L. and Smith, A.R. (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. American Journal of Obstetrics & Gynecology, 175, 10-17. doi:10.1016/S0002-9378(96)70243-0
[5]  Kobashi, K.C. and Leach, G.E. (2000) Pelvic prolapse. The Journal of Urology, 164, 1879-1890. doi:10.1016/S0022-5347(05)66909-1
[6]  Larissa, V.R. and Shlomo, R. (2001) Diagnostic imaging of pelvic floor dysfunction. Current Opinion in Urology, 11, 423-428. doi:10.1097/00042307-200107000-00015
[7]  Fielding, J.R. (2003) MR imaging of the female pelvis. Radiologic Clinics of North America, 41, 179-192. doi:10.1016/S0033-8389(02)00063-5
[8]  Lienemann, A., Sprenger, D., Jan?en, U., Grosch, E., Pellengahr, C. and Anthuber, C. (2004) Assessment of pelvic organ descent by use of functional cine-MRI: Which reference line should be used? Neurourology and Urodynamics, 23, 33-37. doi:10.1002/nau.10170
[9]  Hoyte, L., Schierlitz, L., Zou, K., Flesh, G. and Fielding, J.R. (2001) Twoand 3-dimensional MRI comparison of levator ani structure, volume, and integrity in women with stress incontinence and prolapse. American Journal of Obstetrics & Gynecology, 185, 11-19. doi:10.1067/mob.2001.116365
[10]  Gufler, H., Laubenberger, J., De Gregorio, G., Dohnicht, S. and Langer, M. (1999) Pelvic floor descent: Dynamic MR imaging using a half-fourier RARE sequence. Journal of Magnetic Resonance Imaging, 9, 378-383. doi:10.1002/(SICI)1522-2586(199903)9:3<378::AID-JMRI3>3.0.CO;2-9
[11]  Marinkovic, S.P. and Stanton, S.L. (2004) Incontinence and voiding difficulties associated with prolapse. The Journal of Urology, 171, 1021-1028. doi:10.1097/01.ju.0000111782.37383.e2
[12]  Eva, C.S., Arne, V.F.T., Gosta, T. and Kurt, F.S. (1999) Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors. American Journal of Obstetrics & Gynecology, 180, 299-305. doi:10.1016/S0002-9378(99)70203-6

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