Open AccessEffect of a speculum blade on dynamic MRI evaluation of pelvic organ prolapse
Author(s) -
DELANEY SARAH,
FERNANDEZ PEDRO,
N'GUYEN AMELIE,
SALOMON LAURENCE,
CARBONNE BRUNO,
LAISSY JEAN PIERRE,
ANSQUER YAN
Publication year - 2009
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1080/00016340902883166
Subject(s) - medicine , stage (stratigraphy) , magnetic resonance imaging , surgery , dynamic contrast enhanced mri , pelvic cavity , nuclear medicine , anatomy , radiology , paleontology , biology
Abstract 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 ≥II.