Meshy business: MRI and ultrasound evaluation of pelvic floor mesh and slings.

Pelvic floor disorders are a complex set of conditions including but not limited to stress urinary incontinence and pelvic organ prolapse that generally affect older and multiparous women. Of the several surgical options available for treatment of these conditions, synthetic mid-urethral slings for stress urinary incontinence and vaginal mesh for pelvic organ prolapse are amenable to imaging evaluation by ultrasound and magnetic resonance imaging techniques. Ultrasound can evaluate the sub- and immediate peri-urethral portions of sling due to its ability to differentiate synthetic material from native tissues with real-time imaging, while MRI is able to better depict the global pelvic floor anatomy and assess the more distant components of mesh and slings material. Given the high prevalence of pelvic floor disorders and complications after surgical repair, it is important that radiologists familiarize themselves with normal and abnormal imaging findings after these procedures. This article provides a review of the spectrum of imaging findings in patients after pelvic floor repair with synthetic mid-urethral slings and vaginal mesh.

Abdominal radiology (New York). 2020 Jan 20 [Epub ahead of print]

Roopa Ram, Kedar Jambhekar, Phyllis Glanc, Ari Steiner, Alison D Sheridan, Hina Arif-Tiwari, Suzanne L Palmer, Gaurav Khatri

University of Arkansas for Medical Sciences, 4301, W. Markham Street, Little Rock, AR, USA. ., University of Arkansas for Medical Sciences, 4301, W. Markham Street, Little Rock, AR, USA., Department of Medical Imaging, Body Division, Sunnybrook Health Sciences Centre, Sunnybrook Research Institute, University of Toronto, Rm MG160, Toronto, Canada., Mount Sinai South Nassau, Oceanside, USA., Department of Radiology, University of Colorado, Colorado, USA., South Campus Hospital, University of Arizona College of Medicine, Tucson, USA., Keck School of Medicine, University of Southern California, Los Angeles, USA., Department of Radiology, UT South Western Medical Center, Dallas, USA.