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ECR 2019 / C-2282
Cum Laude
Imaging evaluation of pelvic floor: Pictorial review of the most recent recommendations
Congress: ECR 2019
Poster No.: C-2282
Type: Educational Exhibit
Keywords: Imaging sequences, MR-Functional imaging, MR, Urinary Tract / Bladder, Pelvis, Genital / Reproductive system female, Pelvic floor dysfunction
Authors: P. M. Costa1, D. Monteiro2, A. Silva1, C. A. R. A. Silva3, M. Ribeiro1, J. A. Machado2; 1Matosinhos/PT, 2Porto/PT, 3Guimarães/PT
DOI:10.26044/ecr2019/C-2282

Conclusion

Clinical evaluation of patients with PFD is often limited, both in grading pelvic organ prolapse and identifying the pathologic mechanisms underlying the clinical findings.

 

However, identification of the underlying pathologic defects allows specific therapeutic approach, which probably results in better outcomes, since surgical repair of only one compartment may result in an increasing of dysfunction of the other also damaged compartments. [2]

 

MRI frequently allows an accurate anatomic and functional evaluation of the three pelvic compartments, allowing the correct identification of the compartments involved, sometimes not so obvious clinically, as well as the specific cause of each abnormality. ( Fig. 17Fig. 18, Fig. 19 )

Moreover, MRI often allows the identification of other causes of genitourinary complaints, apart from pelvic floor dysfunction. ( Fig. 20 )

Thus, radiologists should make an effort to answer the clinician's questions, in order to achieve a targeted therapeutic approach.

 

Finally, MRI is still able to objectively assess pelvic floor disorders in a noninvasive fashion.

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