Vaginal axis on MRI after laparoscopic lateral mesh suspension surgery: a controlled study

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dc.authoridÇiğdem Pulatoğlu / 0000-0002-7595-3629en_US
dc.authorscopusidÇiğdem Pulatoğlu / 57191220951
dc.authorwosidÇiğdem Pulatoğlu / AAR-6576-2020
dc.authorwosidÇiğdem Pulatoğlu / ABG-6448-2020
dc.contributor.authorPulatoğlu, Çiğdem
dc.contributor.authorYassa, Murat
dc.contributor.authorTuran, G.
dc.contributor.authorTurkyilmaz, Deniz
dc.contributor.authorDogan, Ozan
dc.date.accessioned2020-11-17T08:07:34Z
dc.date.available2020-11-17T08:07:34Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractIntroduction and hypothesis: Laparoscopic lateral mesh suspension (LLMS) has emerged as a practical, safe, and feasible alternative to sacrocolpopexy (SCP) for treating female genital apical prolapse. Although several prior studies have reported changes in the vaginal axis in women who have undergone SCP or sacrospinous ligament fixation (SSLF) surgery for prolapse, there is a lack of data on changes in the vaginal axis after LLMS. This study was aimed at investigating the level of anatomical correction following LLMS and comparing the vaginal axis on magnetic resonance imaging (MRI) in patients with apical genital prolapse. Methods: Patients who underwent LLMS and a nulliparous control group were included in this observational prospective case–control study. MRI was performed on the control group and the study group pre- and postoperatively. The angle between the pubococcygeal line and the lower vaginal segment, the angle between the levator plate and the pubococcygeal line, and the angle between the lower and upper vaginal segments were measured and compared. Results: The angles measured between the pubococcygeal line and the lower vaginal segment and between the levator plate and the pubococcygeal line were significantly lower in the preoperative than in the postoperative measurements (p < 0.001). All angles were found to be similar in the nulliparous women and in the patients following LLMS surgery. The Pelvic Organ Prolapse Symptom Score (POP-SS) score decreased significantly after the operation (p < 0.001). Conclusion: The vaginal axis was found to be near-normal in patients who underwent LLMS.en_US
dc.identifier.citationPulatoğlu, Ç., Yassa, M., Turan, G., Türkyılmaz, D., & Doğan, O. (2020). Vaginal axis on MRI after laparoscopic lateral mesh suspension surgery: a controlled study. International urogynecology journal, 10.1007/s00192-020-04596-8. Advance online publication. https://doi.org/10.1007/s00192-020-04596-8en_US
dc.identifier.doi10.1007/s00192-020-04596-8en_US
dc.identifier.issn0937-3462en_US
dc.identifier.scopus2-s2.0-85095855972en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1007/s00192-020-04596-8
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1195
dc.identifier.wosWOS:000588608400008en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorPulatoğlu, Çiğdem
dc.language.isoenen_US
dc.publisherSpringer Science and Business Media Deutschland GmbHen_US
dc.relation.ispartofInternational Urogynecology Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectApical Prolapseen_US
dc.subjectLaparoscopic Lateral Mesh Suspensionen_US
dc.subjectLateral Abdominocervicopexyen_US
dc.subjectMagnetic Resonance Imagingen_US
dc.subjectVaginal Axisen_US
dc.titleVaginal axis on MRI after laparoscopic lateral mesh suspension surgery: a controlled studyen_US
dc.typeArticleen_US

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