Pelvic floor disorders lead to hundreds of thousands of surgical interventions on female patients in the USA each year. An estimated 30% of these cases require re-operations.
In this handbook Dr. Aparna Hegde and Dr. G Willy Davila provide an introduction to the role of multicompartment pelvic floor ultrasound imaging in the management of patients who have undergone sling surgery for stress urinary incontinence.
Dr. Santoro, Chief of Pelvic Floor Unit at the Treviso Regional Hospital in Italy describes why the complexity of pelvic floor surgery and treatment necessitates a multidisciplinary approach, and explains what kind of evaluation is needed to understand the pelvic floor prior to surgery and treatment.
MRI will not show the placement of mesh and neither can an X-Ray. However, one modality that can depict mesh is ultrasound. According to Dr. Elizabeth Mueller, Division and Fellowship Director of Female Public Medicine and Reconstructive Surgery at Loyola University Chicago Stritch School of Medicine, ultrasound is the only modality that allows her to not only detect mesh, but perform more precise mesh removal surgeries.