Dynamic MRI After Surgical Repair for Pelvic Organ Prolapse

Abstract

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.

One-year dynamic MRI follow-up after vaginal mesh repair: evaluation of clinical, radiological, and quality-of-life results

“…In our study group dysfunction in the middle compartment was associated in most cases with pathology in neighboring compartments, especially the posterior wall, as shown by Gufler et al. (10,18). Maybe this caused the significant difference of enteroceles assessed in our study using these two methods (dMRI revealed 2.5 times more defects than CE).…”

Magnetic resonance imaging of pelvic floor dysfunction - joint recommendations of the ESUR and ESGAR Pelvic Floor Working Group

“…There is general agreement that MRI of the pelvic floor should encompass static and dynamic MR images, whereas dynamic means imaging under maximum stress to the pelvic floor and MR defecography. Static MR images visualize pelvic floor anatomy and defects of the supporting structures, while dynamic MR images visualize pelvic organ mobility, pelvic floor weakness, pelvic organ prolapse (POP) and associated compartment defects [ 5 , 8 – 11 ]. Additionally, MRI may diagnose unexpected underlying masked functional abnormalities, which might be discrepant from the dominant symptom and may influence the choice of the surgical technique in around 42 % of patients with different spectra of PFD [ 12 , 13 ].…”

MRI findings before and after prolapse surgery

“…urogynecologists, urologists, surgeons) in a single patient. It offers the advantage of visualization of POP without overlapping, regardless of the extent of the prolapse or which compartment is involved (8,(24)(25)(26).…”

“…So far, follow-up assessment after reconstructive surgery using dynamic MRI has been performed in only a few studies, although dynamic MRI may have the potential to visualize the therapeutic outcome after surgery and may determine re-prolapse at an earlier date (14,24,27). Nevertheless, in this study and in all the studies known to the authors that have been published in this field, the meshes themselves cannot be visualized by MRI.…”