E-Posters-10207

10207_Nguyen

Pdf Summary

This study aimed to investigate the association between posterior vaginal wall prolapse (PVWP) on MRI and defecatory symptoms (DS). The prevalence of DS in women with MRI-identified posterior vaginal wall defects (MRIPD) was reviewed in this study. The study analyzed data from patients who underwent a pelvic dynamic MRI (dMRI) at the UCLA David Geffen School of Medicine. DS were evaluated using the Pelvic Floor Distress Inventory and patient history. The presence of constipation, straining, splinting, or incomplete emptying indicated the presence of DS.<br /><br />The study found that the prevalence of MRIPD was high, with 82% of patients having MRIPD. DS were present in 44% of patients with MRIPD. However, an MRIPD was not significantly associated with DS overall. But if the patient had PVWP below the line of the levator hiatus (PVWP-BH), they were 1.7 times more likely to have DS. Therefore, anatomic correction of PVW prolapse may significantly improve DS in this group of patients. Grade 3 patients did not show an association with DS, possibly due to the small sample size.<br /><br />Additionally, the study revealed that 31% of patients without MRIPD had DS, suggesting a need for further evaluation by gastroenterologists. The clinical significance of mild PVWP above the H-line is still debatable.<br /><br />Overall, this study highlights the complex relationship between PVWP and DS. It emphasizes the importance of considering surgical correction of PVWP to improve DS, particularly in cases with PVWP-BH. Further research is needed to better understand and manage these conditions.

Keywords

posterior vaginal wall prolapse

defecatory symptoms

MRI

prevalence

pelvic dynamic MRI

constipation

anatomic correction

grade 3 patients

gastroenterologists

surgical correction