{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T17:21:53Z","timestamp":1780420913905,"version":"3.54.1"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T00:00:00Z","timestamp":1748995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T00:00:00Z","timestamp":1748995200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction<\/jats:title>\n            <jats:p>When pelvic organ prolapse (POP) patients change from pessary to surgical treatment, new POP quantification is often necessary. However, the time to maximal POP recurrence after pessary removal is unclear. This video-article illustrates the variation over time of POP extent after pessary removal.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Upright MRI scans of 12 POP patients were used to measure the distances from the lowest points of bladder and cervix to the Pelvic Inclination Correction System (PICS)) line, with the pessary in situ, immediately, 4 and 8 h after pessary removal. Statistical differences between time points were determined.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The bladder descended immediately after pessary removal from a median of 0.1 cm above to 1.8 cm below the PICS line. In 58% of patients, the bladder then remained stable; in 33%, the bladder further descended up to 5.4 cm after 4 to 8 h. The cervix descended immediately after pessary removal from a median of 3.1 cm to 1.9 cm above the PICS line. In 17% of patients, a late cervix descent after 4\u20138 h was seen.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>POP quantification should be delayed at least 8 h after pessary removal to prevent underestimation of POP extent.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00192-025-06182-2","type":"journal-article","created":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T06:34:58Z","timestamp":1749018898000},"page":"1541-1544","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Pelvic Organ Prolapse Quantification After Pessary Removal: The Use of Upright MRI in POP Research"],"prefix":"10.1007","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8645-7586","authenticated-orcid":false,"given":"Annemarie","family":"van der Steen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank F. J.","family":"Simonis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anique T. M.","family":"Grob","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,6,4]]},"reference":[{"key":"6182_CR1","doi-asserted-by":"publisher","first-page":"1157","DOI":"10.1007\/s00192-009-0930-x","volume":"20","author":"DS Kapoor","year":"2009","unstructured":"Kapoor DS, Thakar R, Sultan AH, Oliver R. Conservative versus surgical management of prolapse: what dictates patient choice? Int Urogynecol J. 2009;20:1157\u201361. https:\/\/doi.org\/10.1007\/s00192-009-0930-x","journal-title":"Int Urogynecol J"},{"key":"6182_CR2","doi-asserted-by":"publisher","first-page":"3","DOI":"10.3909\/riog0110","volume":"3","author":"KA Jones","year":"2010","unstructured":"Jones KA, Harmanli O. Pessary use in pelvic organ prolapse and urinary incontinence. Rev Obstet Gynecol. 2010;3:3\u20139. https:\/\/doi.org\/10.3909\/riog0110","journal-title":"Rev Obstet Gynecol"},{"key":"6182_CR3","doi-asserted-by":"publisher","first-page":"1715","DOI":"10.1111\/j.1471-0528.2009.02380.x","volume":"116","author":"S Sarma","year":"2009","unstructured":"Sarma S, Ying T, Moore KH. Long-term vaginal ring pessary use: discontinuation rates and adverse events. BJOG. 2009;116:1715\u201321. https:\/\/doi.org\/10.1111\/j.1471-0528.2009.02380.x","journal-title":"BJOG"},{"key":"6182_CR4","doi-asserted-by":"publisher","first-page":"1939","DOI":"10.1007\/s00192-018-03862-0","volume":"30","author":"ATM Grob","year":"2019","unstructured":"Grob ATM, OldeHeuvel J, Futterer JJ, et al. Underestimation of pelvic organ prolapse in the supine straining position, based on magnetic resonance imaging findings. Int Urogynecol J. 2019;30:1939\u201344. https:\/\/doi.org\/10.1007\/s00192-018-03862-0","journal-title":"Int Urogynecol J"},{"key":"6182_CR5","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/S00192-023-05550-0","volume":"1","author":"A van der Steen","year":"2023","unstructured":"van der Steen A, Morsinkhof LM, Chen L, et al. Assessment of daily variation in pelvic anatomy in women with and without pelvic organ prolapse. Int Urogynecol J. 2023;1:3. https:\/\/doi.org\/10.1007\/S00192-023-05550-0","journal-title":"Int Urogynecol J"},{"key":"6182_CR6","doi-asserted-by":"publisher","first-page":"200.e1","DOI":"10.1016\/J.AJOG.2008.05.012","volume":"199","author":"M Pearce","year":"2008","unstructured":"Pearce M, Swift S, Goodnight W. Pelvic organ prolapse: is there a difference in POPQ exam results based on time of day, morning or afternoon? Am J Obstet Gynecol. 2008;199:200.e1-200.e5. https:\/\/doi.org\/10.1016\/J.AJOG.2008.05.012","journal-title":"Am J Obstet Gynecol"},{"key":"6182_CR7","doi-asserted-by":"publisher","first-page":"824","DOI":"10.1111\/j.1471-0528.2009.02112.x","volume":"116","author":"NS Ali-Ross","year":"2009","unstructured":"Ali-Ross NS, Smith ARB, Hosker G. The effect of physical activity on pelvic organ prolapse. 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