Effect of a speculum blade on dynamic MRI evaluation of pelvic organ prolapse.
نویسندگان
چکیده
We aimed to evaluate whether the use of a speculum blade modifies the evaluation of pelvic organ prolapse (POP) as assessed by dynamic magnetic resonance imaging (MRI). Twenty-seven women with POP Quantification (POPQ) stage II or greater, scheduled for POP surgery, were evaluated using MRI. The procedure was repeated using the posterior blade of a standard plastic Grave's speculum to successively retract the anterior and posterior vaginal walls. Standard POPQ was 15% stage II (n =4), 59% stage III (n =16) and 26% stage IV (n =7). The use of a blade evidenced hidden pelvic prolapsed compartments in 59% (n =16) of cases. For 48% of patients (n =13), the variation of the leading edge of at least one additional prolapsed compartment was diagnosed as more than 20 mm. In this series, the use of a speculum blade during dynamic MRI modified the POP evaluation in a large proportion of patients with POP stage > or =II.
منابع مشابه
POPQ system and dynamic MRI in assessment of female genital prolapse
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: Tanta University Hospital. Patients: The study was carried out on 60 patients having clinical manifestations suggesting pelvic floor weakness. Intervention: All the patients were subjected to his...
متن کاملبررسی فراوانی پرولاپس اعضای لگنی و ریسک فاکتورهای آن در زنان یائسه مراجعه کننده به بیمارستانهای دانشگاه علوم پزشکی ایران در سال1383
Background & Aim: Pelvic organ prolapse which is defined as displacement of bladder, uterus or rectum from their normal position downward is very common in elder women and causes significant morbidity. It is necessary to have a standard staging to investigate this problem, factors influencing it, and the effect of different therapeutic procedures on the course of disease. The aim of this st...
متن کاملSims Speculum Examination
Sims Speculum Examination is an important skill for medical students and doctors. This article presents a comprehensive, concise and evidence-based approach to the use of the Sims Speculum which is consistent with The Principles of Clinical Examination [1]. We describe the signs of pelvic organ prolapse and based on a review of the literature, the precision and accuracy of these signs is discus...
متن کاملThe incidence of recurrent pelvic organ prolapse: A cross – sectional study
Introduction: Pelvic organ prolapse is a common condition that occurs in parous women and affects the quality of life of women. The present study aimed to evaluate the incidence of recurrent prolapse. Materials and methods: In a cross-sectional study evaluated 365 women attending two public centers of Ilam, West of Iran. Sampling was done by the simple random sampling method. All women parti...
متن کاملMRI of the urethra in women with lower urinary tract symptoms: spectrum of findings at static and dynamic imaging.
OBJECTIVE The purpose of our study was to determine the findings at both static and dynamic MRI in women with a clinically suspected urethral abnormality. MATERIALS AND METHODS MRI of the urethra was performed in 84 women with lower urinary tract symptoms using multiplanar T2-weighted turbo spin-echo and unenhanced and contrast-enhanced gradient-echo sequences. A dynamic true fast imaging wit...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Acta obstetricia et gynecologica Scandinavica
دوره 88 7 شماره
صفحات -
تاریخ انتشار 2009