E-Posters-Comparison of Anatomical Structures in Women with Successful and Unsuccessful Pessary Therapy for Pelvic Organ Prolapse (POP)

Comparison of Anatomical Structures in Women with Successful and Unsuccessful Pessary Therapy for Pelvic Organ Prolapse (POP) - C PR Triepels

Back to course

Pdf Summary

This pilot study aimed to compare the anatomical structures of the pelvic floor in women with pelvic organ prolapse (POP) who had successful and unsuccessful pessary therapy, using dynamic magnetic resonance imaging (dMRI). A total of 15 patients with at least stage II POP-Q who were using pessary therapy were included in the study. Seven patients with pessary expulsion (non-fitting group) and eight patients with no expulsion (fitting group) were selected for analysis.<br /><br />The study found that the non-fitting group had a shorter average vaginal length (6.7 cm) compared to the fitting group (7.8 cm). However, there were no significant differences in pubococcygeal distance or the size of the hiatus between the groups. The middle point of the pessary dropped more often below the pubococcygeal plane in the non-fitting group. Additionally, the descent of the pessary's middle point to the plane of minimal hiatal dimensions was greater during valsalva in the non-fitting group.<br /><br />The study concludes that there are anatomical differences between patients with successful and unsuccessful pessary therapy for POP. However, further research is recommended to validate these findings in a larger study group. The study used sagittal T2-weighted images to evaluate the structures of the pelvic floor, and highlighted the importance of proper pessary fit in the treatment of POP.<br /><br />Overall, this pilot study provides initial insights into the anatomical differences in the pelvic floor between women with successful and unsuccessful pessary therapy for POP. It suggests that careful consideration should be given to vaginal length and pessary fit in the management of this condition.

Keywords

pilot study

anatomical structures

pelvic floor

pelvic organ prolapse

pessary therapy

dynamic magnetic resonance imaging

vaginal length

anatomical differences

research

treatment