title: Functional cine magnetic resonance imaging in women after abdominal sacrocolpopexy.
abstract: OBJECTIVE
  To evaluate whether functional cine magnetic resonance imaging (MRI) is a reliable method for verifying postoperative anatomy and function in women after abdominal sacrocolpopexy.
  
  
  METHODS
  We did postoperative functional cine MRI in 25 women who had sacrocolpopexies. Visibility of grafts and vaginal and sacral fixation points were assessed and correlated with intraoperative results. Ranges of vaginal movement were calculated and compared with results of postoperative gynecologic examinations.
  
  
  RESULTS
  Functional cine MRI achieved full view of vaginas in all cases. The mean vaginal axis was 142 degrees. Grafts were entirely visible in 13 women, partly visible in nine, and not visible in three. Functional cine MRI defined exactly the sacral fixation points in 22 women. Compared with intraoperative results, functional cine MRI showed a higher level of fixation in nine of 11 women. Functional cine MRI defined exact vaginal fixations point in 15 of 25 women. According to the pubococcygeal reference line, the postoperative range of movement of the vaginal apex was 1.8 cm. Recurrent vaginal vault prolapses in three women were detected equally by functional cine MRIs and gynecologic examinations. In those cases, no parts of patches were seen on the images.
  
  
  CONCLUSIONS
  Functional cine MRI provided reliable abdominal sacrocolpopexy follow-up data. It might help with individual surgical planning and augment understanding of benefits and flaws of various surgical approaches to repair of vaginal vault prolapse.
authors.affiliation: Department of Diagnostic Radiology, Klinikum Grosshadern, Ludwig-Maximilians-Universität München, München, Germany. andreaslienemann@compuserve.com
authors.forename: A
authors.initials: A
authors.lastname: Lienemann
authors.forename: D
authors.initials: D
authors.lastname: Sprenger
authors.forename: C
authors.initials: C
authors.lastname: Anthuber
authors.forename: A
authors.initials: A
authors.lastname: Baron
authors.forename: M
authors.initials: M
authors.lastname: Reiser
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine; D008875:Middle Aged; D011184:Postoperative Period; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000175:diagnosis* / Q000601:surgery*