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- Title
Role of Magnetic Resonance defecography in assessment of pelvic floor dysfunction.
- Authors
Moussa, M. S.; Abdelkhaleq, Y. I.; Botros, S. M.; Montasser, A. A.
- Abstract
Purpose: to assess the role of the role of MR defecography in assessment of pelvic floor failure. Methods and Material: Thirty-six patients (twenty-seven female and nine male) with female and male patients, complaining of stress urinary incontinence, constipation, fecal incontinence or pelvic organ prolapse. Results: MRI revealed 18 cystocele (50%), compared to physical examination 2 cases(5.6%), MRI revealed 28 rectocele (77.8%) compared to physical examination that showed 13 (36.1%), MRI revealed 10 uterine descent (40.7%), compared to physical examination 6 (22.2%) I, MRI revealed 7 enterocele (19.4%) compared to physical examination that was negative. MRI revealed level I/II facial defect in and level III facial defect in, 19 cases of Intussusception (52.8%), urethral hypermobility in 14 (38.9%), sphincteric defect 7 (19.4%), levator angle weakness in 30 cases (83.3%), iliococcygeaus muscle tear in 5 cases (13.9%), puborectalis tear in 3 cases (8.3%), anorectal decent in 26 cases (72.2%), genital hiatus width in 23 (63.9%) Conclusion: Dynamic MR imaging is a necessary tool in the diagnosis of multicompartment pelvic organ prolapse and it provides good concordance with clinical examination.
- Subjects
PELVIC floor; MAGNETIC resonance; PELVIC organ prolapse; INTESTINAL intussusception; URINARY stress incontinence; FECAL incontinence
- Publication
QJM: An International Journal of Medicine, 2020, Vol 113, pi245
- ISSN
1460-2725
- Publication type
Article
- DOI
10.1093/qjmed/hcaa068.015a