Dynamic magnetic resonance imaging; reliability of assessment and correlation with clinical findings of pelvic organ prolapse

Dynamic magnetic resonance imaging; reliability of assessment and correlation with clinical findings of pelvic organ prolapse

Blog Article

Introduction: Pelvic floor dysfunction and prolapse affect about 50% of women past middle age.Failure to recognize the complex set of pelvic floor defects in individuals leads to most postsurgical failures.Diagnosis and grading of pelvic floor dysfunction esp sd-2 is primarily done by physical examination.Imaging does not have yet an established role in the investigation of prolapse, yet it is expected to play a role in preoperative planning identifying soft tissue abnormalities which will help avoiding recurrence.Aim of the work: This is a prospective study targeted at defining the role of MRI in assessment of pelvic floor prolapse in females.

Methods: Dynamic and static MRI was performed in 40 female patients complaining of pelvic organ prolapse and/or stress urinary incontinence or fecal nef rune incontinence.Full history was taken and clinical examination performed and findings compared with MRI results.Results: Good concordance was found between dynamic MRI and clinical examination in all three compartments, it was 82.5% in the anterior compartment, 80% in the posterior compartment, 85% in enteroceles and 65.0% in the middle compartment.

Conclusion: Dynamic MRI is expected to be a promising imaging tool and to play a larger role in the preoperative planning of pelvic organ prolapse in the near future.