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Abstract #0821

Assessment of pessary position using upright MR imaging of patients with pelvic organ prolapse

Lisan M. Morsinkhof1, Anique T.M. Grob2, Lianne Straetemans1, and Frank F.J. Simonis1
1Magnetic Detection & Imaging, University of Twente, Enschede, Netherlands, 2Multi-Modality Medical Imaging, University of Twente, Enschede, Netherlands


Pessary treatment for pelvic organ prolapse (POP) has a success rate of only 63% and its working mechanism remains unclear. This study applies upright MRI to gain insight into pessary. Patients were scanned in supine and upright position. The pessary was located under the inferior pubic bone in 7 out of 9 patients in upright position, opposed to 1 out of 9 in supine position. This indicates that the pubic bone does not (solely) contribute to the supporting mechanism. The use of upright MRI contributes to knowledge about the working mechanism of the pessary.

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