Irina De Alba Alvarez MSc

It is importat to understand how the pessary interacts with the pelvic floor to help women with this condition

Pelvic Organ Assessment From Supine To Upright Position In Pessary Users

Introduction: Pelvic Organ Prolapse (POP) is the descent of pelvic organs due to the weakness of the pelvic floor muscles. Conservative treatment by means of pessary (silicone ring) treatment is the first line of choice for POP patients. Objective: The aim of this project is to evaluate the effect of the change from supine position to upright position on the lowest point of the bladder and cervix while wearing a pessary.
Method: This study included 15 POP patients, wearing a ring shaped pessary for at least 3 months. Data was acquired with a tilting 0.25T MRI system. The pelvic inclination correction system (PICS) reference line was used for the measurements (mean±SD ) of organ location. Results:The lowest point of the bladder and cervix dropped significantly (p<0.01) when patients were tilted from supine to upright. Conclusion: patients wearing a ring shaped pessary with good effect, there is still a significant different in organ position between supine and upright position.

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BIOGRAPHY

Studied the Bachelor in Biomedical Engineering at the University of Guadalajara in Mexico and a Masters in Biomedical Engineering in the imaging and in vitro Diagnostics track at the University of Twente. Right now she is a PhD in the M3I research group in the faculty of Science and Technology at the UT.

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