The relationship between superior attachment points for anterior wall mesh operations and the upper vagina using a 3-dimensional magnetic resonance model in women with normal support - 13/08/11
Résumé |
Objective |
We examined structural relationships between anterior mesh kit suspension points and the upper vagina in women with normal support.
Study Design |
Eleven women with normal support underwent supine, multiplanar magnetic resonance pelvic imaging at rest and maximal Valsalva. Using 3-dimensional models generated from these images, anterior wall mesh kit anchoring points were identified along the arcus tendineus fascia pelvis. We then measured the percentage of anterior vagina above and posterior to superior suspension points.
Results |
The anterior vagina extended above superior attachment points in 100% of women at rest and in 73% during Valsalva. It extended posterior to them in 82% and 100% (rest and Valsalva, respectively). The mean percentage of anterior vaginal length above superior anchoring sites was 40 ± 14% at rest and 29 ± 12% during Valsalva.
Conclusion |
The upper vagina lies above and posterior to superior suspension points in the majority of women with normal support.
Le texte complet de cet article est disponible en PDF.Key words : apical support, mesh, recurrent prolapse, vaginal support
Plan
| Reprints not available from the authors. |
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| This study was supported in part by the Office for Research on Women's Health SCOR on Sex and Gender Factors Affecting Women's Health and National Institute of Child Health and Human Development Grants 1 P50 HD044406 and R01 HD 38665. |
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| Cite this article as: Larson KA, Hsu Y, and DeLancey JOL. The relationship between superior attachment points for anterior wall mesh operations and the upper vagina using a 3-dimensional magnetic resonance model in women with normal support. Am J Obstet Gynecol 2009;200:554.e1-554.e6. |
Vol 200 - N° 5
P. 554.e1-554.e6 - mai 2009 Retour au numéro
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