Mid- to Long-Term Magnetic Resonance Imaging Results of Two Prolapse Surgeries for Apical Defect: A Secondary Analysis of a Randomized Controlled Trial

Abstract Objective Magnetic resonance imaging (MRI) has been considered another tool for use during the pre- and postoperative periods of the management of pelvic-organ prolapse (POP). However, there is little consensus regarding its practical use for POP and the association betweenMRI lines of reference and physical examination.We aimedto evaluate the mid- to long-term results of two surgical techniques for apical prolapse. Methods In total, 40 women with apical POP randomized from 2014 to 2016 underwent abdominal sacrocolpopexy (ASC group; n = 20) or bilateral vaginal sacrospinous fixation with an anterior mesh (VSF-AM group; n = 20). A physical examination using the POP Quantification System (POP-Q) for staging (objective cure) and the International Consultation on Incontinence Questionnaire-Vaginal Symptoms (ICIQ-VS: subjective cure), were applied and analyzed before and one year after surgery respectively. All MRI variables (pubococcigeous line [PCL], bladder base [BB], anorectal junction [ARJ], and the estimated levator ani subtended volume [eLASV]) were investigated one year after surgery. Significance was established at p
Source: Revista Brasileira de Ginecologia e Obstetricia - Category: OBGYN Source Type: research

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Pelvic floor disorders (PFDs) is a general term referring to diseases such as pelvic organ prolapse (POP), urinary incontinence (UI), and fecal incontinence. It is a common condition that affects a patient ’s quality of life [1]. POP, a condition involving various pelvic organs such as the bladder, uterus, vagina, intestine, and rectum descending from their original position through the vagina [2], affects more than half of women aged over 50 years [3]. The incidence of POP is expected to increase b y approximately 50% between 2010 and 2050 with progression of an aging society [4].
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Full length article Source Type: research
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Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
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Source: Surgical Neurology International - Category: Neurosurgery Authors: Source Type: research
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