E-Posters-10134

10134_Patton
Pdf Summary
Obesity has been linked to pelvic floor disorders, but it is unclear if these clinical findings are reflected in radiographic measurements. The aim of this study was to examine standardized radiographic measurements in obese patients with pelvic organ prolapse (POP). <br /><br />A retrospective chart review was conducted on 50 consecutive patients who underwent dynamic MRI for the evaluation of POP. Demographic data and POP-Q measurements were collected. Standard measurements, including the H line and M line at rest and maximal strain, were recorded from the radiology report. Fisher's exact test and Mann-Whitney U test were performed to analyze the data.<br /><br />The results showed that the M line at rest was significantly lower in patients with a BMI ≥25 compared to those with a BMI <25. However, other radiographic findings were not significantly different. Logistic regression analysis did not reveal any significant confounders for this finding.<br /><br />In conclusion, although obesity has been clinically associated with pelvic floor disorders, the only significant finding using standardized radiographic markers was a decreased M line at rest in these patients. One possible explanation is a difference in the forces experienced by the pelvic floor in obese patients. Further study is needed to understand the dynamics involved in obesity and pelvic floor disorders.<br /><br />Figure 1 shows the sagittal view of a dynamic pelvic MRI while the patient is at rest, and Figure 2 shows the same view from the patient at maximal strain.<br /><br />Table 1 displays the demographic data, which was similar between patients with a BMI <25 and those with a BMI ≥25. Table 2 shows the radiographic measurements, with only the M line at rest being significantly different between the two groups.
Keywords
Obesity
pelvic floor disorders
radiographic measurements
obese patients
pelvic organ prolapse
dynamic MRI
POP-Q measurements
H line
M line
BMI