AUGS/IUGA Scientific Meeting 2019-Short Oral Session 3

Video Transcription

Video Summary

Thank you to the presenters for sharing their research findings. The first presentation discussed the changes in the pelvic floor after childbirth and the use of MRI imaging to study these changes. The study was conducted in pregnant women and measured the position of the bladder and uterus as well as the pelvic floor muscle strength. The results showed that there were significant changes in the position of the bladder and uterus during and after pregnancy, indicating potential pelvic floor dysfunction. However, the study did not find a correlation between these changes and urinary symptoms. The second presentation focused on the differences in anatomy of the pelvic floor in women with and without prolapse. The study used MRI imaging to compare the levels of support in women with prolapse and found that there were different structural defects in each level. The researchers suggested that surgical planning and outcome assessment should take into account these structural defects. The third presentation examined the dynamic changes in the position and area of the bladder and uterus during pregnancy and postpartum. The study used a prospective cohort design and measured these changes with serial MRIs. The results showed that there was a significant increase in prolapse at three months postpartum compared to the first and third trimesters. The fourth presentation investigated the changes in urethral measurements before and after hysterectomy. The study found that there were significant changes in the upper vaginal axis and upper middle vaginal angle after hysterectomy. These changes may increase the risk of pelvic organ prolapse in women who have had a hysterectomy. In conclusion, these studies highlight the importance of imaging techniques such as MRI in understanding the changes in the pelvic floor. They provide valuable insights into the anatomy and function of the pelvic floor and can help inform prevention and treatment strategies for pelvic floor disorders.

Asset Caption

Megan R. Routzong, BS, Ka Woon Wong, MBBS, MRCOG, Margaret R. Hines, MD, Emily Wu, MD, Sallie S. Oliphant, MD, Elizabeth S. Rubin, MD, Markus Huebner, MD, Fei Feng, BS, Marcus V. Ortega, MD

Keywords

pelvic floor

MRI imaging

prolapse

structural defects

hysterectomy

pelvic organ prolapse

imaging techniques