| Do repetitive Valsalva maneuvers change maximum prolapse on dynamic MRI? | |
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MedLine Citation:
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PMID: 20544342 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION AND HYPOTHESIS: This study seeks to quantify differences in anterior vaginal wall prolapse during sequential Valsalva attempts on dynamic magnetic resonance imaging (MRI). METHODS: Subjects were taken from an on-going case-control study evaluating anterior vaginal wall prolapse. Women with a prolapse whose leading edge extended >or=1 cm beyond the hymenal ring were included (n = 40). All subjects performed three maximal Valsalva efforts while mid-sagittal dynamic MRI scans were obtained. Bladder descent between the first, second, and third maximal Valsalva efforts were compared. RESULTS: Forty percent of women had a greater than 2-cm increase in prolapse size from their first to third Valsalva attempt. Ninety-five percent of women extended their prolapse further with a third Valsalva. CONCLUSIONS: As is true during clinical examination, several attempts may be required to have maximal anterior compartment prolapse present during dynamic MRI of the pelvic floor. |
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Authors:
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Julie A Tumbarello; Yvonne Hsu; Christina Lewicky-Gaupp; Suzan Rohrer; John O L DeLancey |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural Date: 2010-06-11 |
Journal Detail:
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Title: International urogynecology journal Volume: 21 ISSN: 1433-3023 ISO Abbreviation: Int Urogynecol J Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-02 Completed Date: 2011-01-03 Revised Date: 2011-10-03 |
Medline Journal Info:
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Nlm Unique ID: 101567041 Medline TA: Int Urogynecol J Country: England |
Other Details:
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Languages: eng Pagination: 1247-51 Citation Subset: IM |
Affiliation:
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Pelvic Floor Research Group, University of Michigan, Ann Arbor, MI, USA. jtumbare@umich.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Female Humans Magnetic Resonance Imaging* Middle Aged Pelvic Organ Prolapse / diagnosis*, physiopathology* Valsalva Maneuver* |
| Grant Support | |
ID/Acronym/Agency:
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P50 HD044406-01/HD/NICHD NIH HHS; P50 HD44406/HD/NICHD NIH HHS; R01 HD038665-01/HD/NICHD NIH HHS; R01 HD38665/HD/NICHD NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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