Pelvic magnetic resonance imaging for assessment of the efficacy of the Prolift system for pelvic organ prolapse

Am J Obstet Gynecol. 2010 Nov;203(5):504.e1-5. doi: 10.1016/j.ajog.2010.06.034. Epub 2010 Aug 5.

Abstract

Objective: The purpose of this study was to compare pre- and postoperative pelvic organ prolapse-quantification (POP-Q) and magnetic resonance imaging (MRI) measurements in patients who undergo total Prolift (Ethicon, Inc, Somerville, NJ) colpopexy.

Study design: Pre- and postoperative MRI and POP-Q examinations were performed on patients with stage 2 or greater prolapse who underwent the Prolift procedure. MRI measurements were taken at maximum descent. Correlations between changes in MRI and POP-Q measurements were determined.

Results: Ten subjects were enrolled. On MRI, statistically significant changes were seen with cystocele, enterocele, and apex. Statistically significant changes were seen on POP-Q measurements for Aa, Ba, C, Ap, Bp, and GH. Positive correlations were demonstrated between POP-Q and MRI changes. Minimal tissue reaction was seen on MRI.

Conclusion: The Prolift system is effective in the surgical management of pelvic organ prolapse as measured by POP-Q and MRI. Postoperative MRIs support the inert nature of polypropylene mesh.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Female
  • Humans
  • Magnetic Resonance Imaging*
  • Middle Aged
  • Patient Satisfaction
  • Pelvic Organ Prolapse / surgery*
  • Pelvis / surgery*
  • Prospective Studies
  • Surgical Mesh
  • Treatment Outcome