Practical guide to dynamic pelvic floor MRI

Mariya Kobi, Milana Flusberg, Viktoriya Paroder, Victoria Chernyak

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Pelvic floor dysfunction encompasses a spectrum of functional disorders that result from impairment of the ligaments, fasciae, and muscles supporting the pelvic organs. It is a prevalent disorder that carries a lifetime risk over 10% for undergoing a surgical repair. Pelvic floor weakness presents as a wide range of symptoms, including pain, pelvic pressure or bulging, urinary and fecal incontinence, constipation, and sexual dysfunction. A correct diagnosis by clinical examination alone can be challenging, particularly in cases involving multiple compartments. Magnetic resonance imaging (MRI) allows noninvasive, radiation-free, high soft-tissue resolution evaluation of all three pelvic compartments, and has proved a reliable technique for accurate diagnosis of pelvic floor dysfunction. MR defecography with steady-state sequences allows detailed anatomic and functional evaluation of the pelvic floor. This article provides an overview of normal anatomy and function of the pelvic floor and discusses a practical approach to the evaluation of imaging findings of pelvic floor relaxation, pelvic organ prolapse, fecal incontinence, and obstructed defecation. Level of Evidence: 5 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2018.

Original languageEnglish (US)
JournalJournal of Magnetic Resonance Imaging
DOIs
StateAccepted/In press - Jan 1 2018

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Keywords

  • Evaluation of imaging finding
  • Fecal incontinence
  • Pelvic floor dysfunction
  • Pelvic organ prolapse

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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