| Effect of a speculum blade on dynamic MRI evaluation of pelvic organ prolapse. | |
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MedLine Citation:
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PMID: 19330569 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We aimed to evaluate whether the use of a speculum blade modifies the evaluation of pelvic organ prolapse (POP) as assessed by dynamic magnetic resonance imaging (MRI). Twenty-seven women with POP Quantification (POPQ) stage II or greater, scheduled for POP surgery, were evaluated using MRI. The procedure was repeated using the posterior blade of a standard plastic Grave's speculum to successively retract the anterior and posterior vaginal walls. Standard POPQ was 15% stage II (n =4), 59% stage III (n =16) and 26% stage IV (n =7). The use of a blade evidenced hidden pelvic prolapsed compartments in 59% (n =16) of cases. For 48% of patients (n =13), the variation of the leading edge of at least one additional prolapsed compartment was diagnosed as more than 20 mm. In this series, the use of a speculum blade during dynamic MRI modified the POP evaluation in a large proportion of patients with POP stage > or =II. |
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Authors:
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Sarah Delaney; Pedro Fernandez; Amelie N'Guyen; Laurence Salomon; Bruno Carbonne; Jean Pierre Laissy; Yan Ansquer |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta obstetricia et gynecologica Scandinavica Volume: 88 ISSN: 1600-0412 ISO Abbreviation: Acta Obstet Gynecol Scand Publication Date: 2009 |
Date Detail:
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Created Date: 2009-06-22 Completed Date: 2009-07-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370343 Medline TA: Acta Obstet Gynecol Scand Country: England |
Other Details:
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Languages: eng Pagination: 831-4 Citation Subset: IM |
Affiliation:
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Hôpital St Antoine, Assistance Publique Hôpitaux de Paris, Université Pierre et Marie Curie, Paris VI, Service de Gynécologie Obstétrique, 184 rue du Faubourg St Antoine, Paris, France. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Chi-Square Distribution Female Humans Magnetic Resonance Imaging / methods* Middle Aged Surgical Instruments* Uterine Prolapse / diagnosis* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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