ArticleInternational urogynecology journal2022
Preoperative level II/III MRI measures predicting long-term prolapse recurrence after native tissue repair.
Article in International urogynecology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Hiatus and pelvic floor failure patterns in pelvic organ prolapse: a 3D MRI study of structural interactions using a level III conceptual model.American journal of obstetrics and gynecology · 2025Article
- Racial differences in the levator ani muscle and levator hiatus in individuals of reproductive age.American journal of obstetrics and gynecology · 2025Article
- [Application of Magnetic Resonance Imaging in the Diagnosis and Treatment of Middle Compartment Defect].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025Review
- Analysing the support mechanisms of the vaginal ring pessary on supine and upright MRI.Scientific reports · 2024Article
- Postpartum Changes in Levator Plate Shape and Genital Hiatus Size After Vaginal Delivery.International urogynecology journal · 2024Article
- Assessment of pelvic organ prolapse with the Pelvic Inclination Correction System: defining the normal range and threshold to pathology.Abdominal radiology (New York) · 2024Article
- A unified pelvic floor conceptual model for studying morphological changes with prolapse, age, and parity.American journal of obstetrics and gynecology · 2024Review
- Vaginal morphology and position associated with prolapse recurrence after vaginal surgery: A secondary analysis of the DEMAND study.BJOG : an international journal of obstetrics and gynaecology · 2024Article
- Assessment of daily variation in pelvic anatomy in women with and without pelvic organ prolapse.International urogynecology journal · 2023Article
- A comparison of MRI-based pelvic floor support measures between young and old women with prolapse.International urogynecology journal · 2023Article
- Hiatal failure: effects of pregnancy, delivery, and pelvic floor disorders on level III factors.International urogynecology journal · 2023Review
- Pelvic inclination correction system for magnetic resonance imaging analysis of pelvic organ prolapse in upright position.International urogynecology journal · 2022Article
- Significance of Pelvic Floor Hiatus in Female Pelvic Organ Prolapse.Journal of medical ultrasoundReview
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
Abstract
introduction and hypothesisTo identify preoperative level II/III MRI measures associated with long-term recurrence after native tissue prolapse repair.
methodsWomen who previously participated in pelvic floor research involving MRI prior to undergoing primary native tissue prolapse repair were recruited to return for repeat examination and MRI. Recurrence was defined by POP-Q (Ba/Bp > 0 or C > -4), repeat surgery, or pessary use. Preoperative MR images were used to perform five level II/III measurements including a new levator plate (LP) shape analysis at rest and maximal Valsalva. Principal component analysis (PCA) was used to evaluate LP shape variations. Principal component scores calculated for two independent shape variations were noted.
resultsThirty-five women were included with a mean follow-up of 13.2 ± 3.3 years. Nineteen (54%) were in the success group. There were no statistical differences between success versus recurrence groups in demographic, clinical, or surgical characteristics. Women with recurrence had a larger preoperative resting levator hiatus [median 6.4 cm (IQR 5.7, 7.1) vs. 5.8 cm (IQR 5.3, 6.3), p = 0.03]. This measure was associated with increased odds of recurrence (OR 8.2, CI 1.4-48.9, p = 0.02). Using PCA, preoperative LP shape PC1 scores were different between success and recurrence groups (p = 0.02), with a more dorsally oriented LP shape associated with recurrence.
conclusionsLarger preoperative levator hiatus at rest and a more dorsally oriented levator plate shape were associated with prolapse recurrence at long-term follow-up. For every 1 cm increase in preoperative resting levator hiatus, the odds of long-term prolapse recurrence increases 8-fold.
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