Demonstrate the great contrast resolution of MRI in direct visualization of anatomic pelvic structures as well the functional assessment of the pelvic floor Describe a number of reference lines and measurement points used to diagnose and grade pelvic floor disorders Document the MRI appearance of disorders associated with ano-rectal dysfunction Evaluate the role of magnetic resonance (MRI) in identification of diseases affecting the ano-rectal evacuation mechanism Every MRI image shown in...
Introduction Pelvic floor disorders represents a common health problem Women are more affected Advanced age,
previous pelvic surgery,
heavy physical exertion contributes to this problem Symptoms are variable and nonspecific Clinical evaluation of these disorders is insufficient Radiologic evaluation should be preceded by: Clinical history – symptom duration,
severity Physical examination Clinical background - obstetric trauma,...
Findings and procedure details
Morphologic Abnormalities Rectocele – bulging of the anterior rectal wall against the posterior vaginal wall.
Small rectoceles are frequent in asymptomatic women and may represent a normal variant.
Large rectoceles (> 2 cm) have a strong association with evacuation difficulty. Rectoceles may contribute to passive leakage after incomplete evacuation. Herniation of the pelvic peritoneal sac through the recto-genital space below de pubo-coccigeal ligament or recto-vaginal septum at the level...
MRI is a non-invasive,
non-ionizing radiation technique,
which can be an important auxilliary tool for pelvic floor anatomy and functional evaluation,
thanks to its extraordinary capabilities regarding tissue contrast It is a technique that,
when adequately integrated with prior clinical evaluation and exclusion of organic disease,
may have na invaluable role in the diagnosis,
therapeutic guidance and follow-up of pelvic floor dysfunction disorders Magnetic resonance permits evaluation of the...
Association of compartment defects in anorectal and pelvic floor dysfunction with female outlet obstruction constipation (OOC) by dynamic MR defecography.
European review for medical and pharmacological sciences (2015) 19: 1407-1415 Aminah NA,
review of functional pelvic floor imaging modalities and their effectiveness.
Clinical Imaging (2015) Khatri G.
Magnetic resonance imaging of pelvic floor disorders.
Topics in magnetic resonance imaging (2014) 23 (4): 259-273...