From left to right: Magnetic resonance imaging (MRI) scans and vaginal contours at rest, strain, and strain with the rest vaginal outline overlaid. Apical descent (AD) failure is shown in an (a) native tissue repair (NTR) patient and (b) transvaginal mesh (VM) repair patient. Anterior vaginal wall elongation (AVWE) failure demonstrated in an (c) NTR patient and (d) VM patient. The vaginal perimeter at rest (purple contour) and strain (blue contour) and vaginal apex (red point) are displayed.
Abbreviations: NTR, native tissue repair; VM, transvaginal mesh.