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Int Urogynecol J. 2012 Aug;23(8):1055-61. doi: 10.1007/s00192-012-1666-6. Epub 2012 Feb 3.

Utility of preoperative examination and magnetic resonance imaging for diagnosis of anterior vaginal wall masses.

Author information

1
Department of Obstetrics and Gynecology, Division of Urogynecology, New York Presbyterian Hospital/Weill Cornell Medical Center, 525 East 68th Street, J-130, New York, NY 10065, USA. tirsit@yahoo.com

Abstract

INTRODUCTION AND HYPOTHESIS:

The clinical evaluation of anterior vaginal wall masses can present a dilemma, as there are no well-defined pathways for diagnosis and management. Our objective was to evaluate the role and accuracy of preoperative exam and magnetic resonance imaging (MRI) for these masses.

METHODS:

We identified women with a mass using billing codes for 10 years. We compared data from the preoperative evaluation to postoperative pathology if available.

RESULTS:

Analysis after chart review on 47 women was performed. Of the 34 women who had surgery, 28 (82.4%) also underwent an MRI. MRI diagnosis was accurate in 22/28 women compared to histology, inconclusive in 4, and inaccurate in 2. Preoperative diagnosis, including exam, MRI, and cystourethroscopy, had a diagnostic accuracy of 94.1% compared to postoperative diagnosis. The positive predictive value of MRI alone was 91.7%.

CONCLUSIONS:

Preoperative diagnosis using exam, MRI, and cystourethroscopy have a high diagnostic accuracy for anterior vaginal wall masses.

PMID:
22302079
DOI:
10.1007/s00192-012-1666-6
[Indexed for MEDLINE]

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