Yukiko Honda MD, Presenter: Nothing to Disclose

Wataru Fukumoto, Abstract Co-Author: Nothing to Disclose

Daisuke Komoto MD, Abstract Co-Author: Nothing to Disclose

Keizo Tanitame MD, Abstract Co-Author: Nothing to Disclose

Shuji Date, Abstract Co-Author: Nothing to Disclose

Kazuo Awai MD, Abstract Co-Author: Research Grant, Toshiba Corporation Research Grant, Hitachi Ltd Research Grant, Bayer AG Research Consultant, DAIICHI SANKYO Group Research Grant, Eisai Co, Ltd

In the TVM procedure, by touch only the urologists make a puncture in the sacrospinous ligament with reference to the ischial spine for mesh fixation. The injury to the internal pudendal artery (IPA) is a complication of TVM. Therefore, we must know the precise anatomy around the ischial spine and sacrospinous ligament; particularly the identification of the IPA is very important. The IPA can be easily identified with CT as opposed to MRI.  

A. Anatomy necessary for understanding POP - Show the precise anatomy around the ischial spine and sacrospinous ligament - Demonstrate visually a common surgical procedure (the tension-free vaginal mesh: TVM) B. The classification and grading of POP C. What we should know to improve surgical safety during the TVM procedure - Accurate identification of the internal pudendal artery - Presence of incidental uterine tumor  

http://abstract.rsna.org/uploads/2014/14017636/14017636_w2zw.pdf

Honda, Y, Fukumoto, W, Komoto, D, Tanitame, K, Date, S, Awai, K, Role of the Preoperative CT Analysis in Pelvic Organ Prolapse (POP).  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14017636.html