Dynamic MRI finds pelvic organ prolapse

In women with lower urinary tract symptoms, dynamic MRI allows clinicians to diagnose pelvic organ prolapse, a condition that often goes undiagnosed on static MRI and at physical examination, according to a study published in the December issue of the American Journal of Roentgenology.

The study, performed at New York University's (NYU) Langone Medical Center in New York City, included 84 women with lower urinary tract symptoms who underwent dynamic and static MRI scans for a suspected urethra abnormality. Ten of the 84 patients were found to have an abnormality of the urethra.

However, 33 patients were diagnosed with pelvic organ prolapse, of whom 29 were diagnosed exclusively on dynamic imaging, according to lead author Dr. Genevieve Bennett, assistant professor of radiology at NYU Langone Medical Center.

Researchers concluded that dynamic imaging allows for the detection of pelvic organ prolapse, which may not be evident at rest but only detected when the woman strains.

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