Dynamic pelvic magnetic resonance imaging and cystocolpoproctography alter surgical management of pelvic floor disorders

Kaufman, Howard S.; Buller, Jerome L.; Thompson, Jason; Pannu, Harpreet K.; DeMeester, Susan L.; Genadry, Rene R.; Bluemke, David A.; Jones, Bronwyn; Rychcik, Jennifer L.; Cundiff, Geoffrey W.

doi:10.1007/bf02234374

Cited by 125 publications

(71 citation statements)

References 18 publications

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“…Thus, a total of 509 studies were checked for eligibility, of which 432 studies could be excluded on the basis of title and abstract. The remaining 77 studies were read by paper, but only ten studies [24][25][26][27][28][29][30][31][32][33], published between 1993 and 2007, fulfilled the inclusion criteria. Sixty-one studies were excluded because they did not conform to our inclusion criteria: no report on a reference line used to stage the prolapse on dynamic MR imaging (n studies=1), no standardized method of gynecological prolapse staging (pre-or intraoperative; n studies=23), and no comparison of the dynamic MR imaging and gynecological prolapse staging (n studies = 7).…”

Section: Resultsmentioning

confidence: 99%

“…The bladder, and/or vagina, and/or rectum was/were opacified in three studies [25,29,33], whereas the other seven did not use opacification [24,[26][27][28][30][31][32], or even emptied the bladder [24,26,31]. Agildere et al [24] used an oral contrast agent (gadopentetatedimeglumine or gadopentetatedimeglumine plus polyethylene glycol).…”

Section: Resultsmentioning

confidence: 99%

“…In three studies, patients were instructed to perform an increasing straining maneuver [25,27,30]. Lienemann et al [31] and Fauconnier et al [26] endeavored to standardize the effort of straining, using the reversal of flow in the femoral veins on the axial images to indicate an adequate straining maneuver, or assessed the prolapse when the degree of protrusion remained the same for at least three sequences, respectively.…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of clinical studies on dynamic magnetic resonance imaging of pelvic organ prolapse: the use of reference lines and anatomical landmarks

et al. 2009

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Introduction and hypothesis The aim of our study was to provide a systematic literature review of clinical studies on pelvic organ prolapse staging with use of dynamic magnetic resonance (MR) imaging. Methods The databases EMBASE and PubMed were searched. Clinical studies were included in case they compared pelvic organ prolapse stages as assessed on dynamic MR imaging (using a reference line) with a standardized method of clinical prolapse staging. Results Ten studies were included, which made use of seven different reference lines in relation to a wide variety of anatomical landmarks. Conclusions Only few studies have compared pelvic organ prolapse stages as assessed by dynamic MR imaging and clinical examination in a standardized manner. The available evidence suggests that prolapse assessment on dynamic MR imaging may be useful in the posterior compartment, but clinical assessment and dynamic MR imaging seem interchangeable in the anterior and central compartment.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A systematic review of clinical studies on dynamic magnetic resonance imaging of pelvic organ prolapse: the use of reference lines and anatomical landmarks

et al. 2009

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“…Consequently, a diagnostic test for POP, merely based on descend below a certain reference line, seems to be a nonvalid method for interpretation of dynamic MR images. In literature, four different methods have been described to report on the presence or staging of an enterocele on MR imaging, i.e., (1) an enterocele was diagnosed in case of any outpouching of the peritoneal sack and its contents into the rectovaginal space [3,7,14,15], (2) when the sack descended into the rectovaginal space for more than one third of the proximal vagina [12,[22][23][24], (3) when the sack descended more than halfway the vagina [25], or (4) when the peritoneal sack descended below a certain reference line [10,11,13,26]. In the present study, the qualitative assessment (i.e., the first three methods) was excellent to good.…”

Section: Discussionmentioning

confidence: 99%

Dynamic magnetic resonance imaging: reliability of anatomical landmarks and reference lines used to assess pelvic organ prolapse

et al. 2008

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The aim of this study was to determine the intraand interobserver reliability of dynamic magnetic resonance (MR) staging in pelvic organ prolapse patients. In 30 patients with pelvic organ prolapse, dynamic MR images were assessed independently by two observers. Various anatomical landmarks to asses pelvic organ prolapse were used in relation to the pubococcygeal line, H-line, and midpubic line. Clinical measurement points were assessed in relation to the mid-pubic line. The intraclass correlation coefficients (ICC) were calculated to describe the intraand interobserver reliability. Overall, the intra-and interobserver reliability of MR imaging measurements was excellent to good. The pubococcygeal line showed superior reliability (ICC range 0.70-0.99). The reliability of clinical measurement points, however, were only moderate (ICC range 0.20-0.96). The intra-and interobserver reliability of quantitative prolapse staging on dynamic MR imaging were good to excellent. The pubococcygeal line appears the most reliable to use.

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“…Dynamic imaging lead to changes in the initial operative plan in 41 percent of patients and was the only modality that identified levator ani hernias. Dynamic cystocolpoproctography identified sigmoidoceles and internal rectal prolapse more often than physical examination or dynamic magnetic resonance [6].…”

Section: Discussionmentioning

confidence: 86%

Perineal Hernia in Women : Assessment with Evacuation Fluoroscopic Cystocolpoproctography

Araki¹,

Noake²,

Nagae³

et al. 2007

Kurume Med. J.

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Summary:The aim of this study is to assess the usefulness of fluoroscopic cystocolpoproctography in the treatment of female pelvic organ prolapse. The presence or absence of rectocele, enterocele, sigmoidocele, and the cystocele on cystocolpoproctography was retrospectively analyzed in 46 consecutive patients. A rectocele was detected in 4.5% of the patients, postvaginal hernia in 19.7%, cystocele in 3.0%, complete rectal prolapse in 53.0%, massive rectal prolapse in 10.6%, and incomplete rectal prolapse in 4.5% of the patients on cystocolpoproctography. Perineal hernia can include a combination of cystocele, rectocele, uterine prolapse, enterocele and rectal prolapse. Accurate diagnosis of the coexisting abnormalities is essential in planning reconstructive procedures so that the risks of recurrence and reoperation can be minimized. Fluoroscopic cystocolpoproctography provides direct visualization and quantification of female pelvic organ prolapse, information that usually can only be inferred by physical examination.

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Dynamic pelvic magnetic resonance imaging and cystocolpoproctography alter surgical management of pelvic floor disorders

Cited by 125 publications

References 18 publications

A systematic review of clinical studies on dynamic magnetic resonance imaging of pelvic organ prolapse: the use of reference lines and anatomical landmarks

A systematic review of clinical studies on dynamic magnetic resonance imaging of pelvic organ prolapse: the use of reference lines and anatomical landmarks

Dynamic magnetic resonance imaging: reliability of anatomical landmarks and reference lines used to assess pelvic organ prolapse

Perineal Hernia in Women : Assessment with Evacuation Fluoroscopic Cystocolpoproctography

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