Gaurav Khatri MD, Presenter: Nothing to Disclose

Beth A. Furey MD, BEng, Abstract Co-Author: Nothing to Disclose

April Alexander Bailey MD, Abstract Co-Author: Nothing to Disclose

Maude Carmel MD, Abstract Co-Author: Nothing to Disclose

Melissa Foreman, Abstract Co-Author: Nothing to Disclose

Philippe E. Zimmern MD, Abstract Co-Author: Nothing to Disclose

Cecelia Brewington MD, Abstract Co-Author: Research Grant, Toshiba Corporation

Ivan Pedrosa MD, Abstract Co-Author: Shareholder, Humana Inc

1. Review surgical approaches for stress urinary incontinence and pelvic organ prolapse. 2. Describe female pelvic anatomy with original illustrations to emphasize surgical landmarks utilized to identify mesh 3. Discuss imaging appearance of various types of surgical mesh, correlating with MRI and US. 4. Review imaging appearance of surgical mesh complications, including infection and mesh failure.  

i. Background  review of pelvic floor dysfunction overview of female pelvic floor anatomy current concepts in surgical repair ii. Types of surgical procedures a. Repair of stress urinary incontinence (i.e. midurethral sling) tension free vaginal tape (TVT) retropubic mid urethral sling trans obturator tape (TOT) mini-sling  Surgical mesh kits in the US - what's on the market? b. Repair of pelvic organ prolapse anterior repair posterior repair apical repair – sacral colpopexy Surgical mesh kits in the US - what's on the market? iii. Correlation of original illustrations with MR and US appearance iv. Imaging of mesh complications v. Conclusion Knowledge of pelvic floor anatomy and various mesh kits may allow for identification of potential mesh fragments and their complications  

http://abstract.rsna.org/uploads/2014/14003517/14003517_u9g7.pdf

Khatri, G, Furey, B, Bailey, A, Carmel, M, Foreman, M, Zimmern, P, Brewington, C, Pedrosa, I, What a Mesh! A Radiologist’s Guide to Imaging of Surgical Repair for Pelvic Floor Dysfunction.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14003517.html