Abstract #4674

Pre- And Postoperative Dynamic MRI: Evaluation of Pelvic Organ Prolapse in Symptomatic Women

Cline D. Alt¹, Kerstin Brocker², Florian Lenz², Christof Sohn², Hans-Ulrich Kauczor¹, Peter Hallscheidt¹

¹Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, Germany; ²Obstetrics and Gynecology, University Hospital Heidelberg, Heidelberg, Germany

Description: Evaluation of dynamic changes of pelvic organ prolapse by MRI. Method: Dynamic 1.5T MRI was performed preoperative and after surgery in women with pelvic organ prolapse. For measurement two referential lines and four anatomical landmarks were taken. Results: 77 women were yet included. Surgical treatment was anterior (43/62), posterior (15/62) and combined anterior/posterior mesh-repair (4/62). Median values of organ prolapse often showed significant changes (p<0,05) in short term follow-up compared to preoperative results. With posterior mesh-repair the changes werent significant. Conclusion: Dynamic MRI offers an accurate extent of prolapse and allows to evaluate the success after reconstructive surgery.