title: Pelvic magnetic resonance imaging for assessment of the efficacy of the Prolift system for pelvic organ prolapse.
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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Indianapolis, IN, USA.
authors.forename: Seshadri
authors.initials: S
authors.lastname: Kasturi
authors.forename: Joye K
authors.initials: JK
authors.lastname: Lowman
authors.forename: Joye
authors.initials: J
authors.lastname: Lowman
authors.forename: Frederick M
authors.initials: FM
authors.lastname: Kelvin
authors.forename: Fatih M
authors.initials: FM
authors.lastname: Akisik
authors.forename: Fateh
authors.initials: F
authors.lastname: Akisik
authors.forename: Colin L
authors.initials: CL
authors.lastname: Terry
authors.forename: Colin
authors.initials: C
authors.lastname: Terry
authors.forename: Douglass S
authors.initials: DS
authors.lastname: Hale
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D017060:Patient Satisfaction; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D010388:Pelvis / Q000601:surgery*; D011446:Prospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome