Pelvic magnetic resonance imaging for assessment of the efficacy of the Prolift system for pelvic organ prolapse.
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.
Kasturi
Seshadri
S
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Indianapolis, IN, USA.
Lowman
Joye K
JK
Lowman
Joye
J
Kelvin
Frederick M
FM
Akisik
Fatih M
FM
Akisik
Fateh
F
Terry
Colin L
CL
Terry
Colin
C
Hale
Douglass S
DS
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