Two-dimensional magnetic resonance imaging (MRI) demonstrates apical support and vaginal length contribute to anterior wall prolapse (AWP). This paper describes a novel three-dimensional technique to… (More)
This study assesses relative contributions of "midline defects" (widening of the vagina) and "paravaginal defects" (separation of the lateral vagina from the pelvic sidewall). Ten women with anterior… (More)
OBJECTIVE
The objective of the study was to describe a framework for visualizing the perineal body's complex anatomy using thin-slice magnetic resonance (MR) imaging.
STUDY DESIGN
Two millimeter… (More)
Assessment and management of anterior vaginal wall defects presents a unique surgical challenge. It is often the most common site of initial prolapse in women and the most common site of recurrence.… (More)
Correction of apical vaginal prolapse has been described via abdominal, laparoscopic, and transvaginal approaches. The uterosacral and sacrospinous ligament suspension procedures are common… (More)
OBJECTIVE
To describe the characteristics of recurrent pelvic organ prolapse (POP).
METHODS
A convenience sample of patients presenting with recurrent POP symptoms between October 2007 and February… (More)
OBJECTIVE
We examined structural relationships between anterior mesh kit suspension points and the upper vagina in women with normal support.
STUDY DESIGN
Eleven women with normal support underwent… (More)
Two-dimensional magnetic resonance imaging (MRI) of posterior vaginal prolapse has been studied. However, the three-dimensional (3-D) mechanisms causing such prolapse remain poorly understood. This… (More)
The arcus tendineus fascia pelvis (ATFP) and arcus tendineus levator ani (ATLA) are elements of anterior vaginal support. This study describes their geometry in women with unilateral levator ani… (More)
In cystoceles, the distal anterior vaginal wall (AVW) bulges out through the introitus and is no longer in contact with the posterior vaginal wall or perineal body, exposing the pressure differential… (More)