Role of Dynamic MRI in Assessment of Pelvic Floor Dysfunction in Females

Abstract

Introduction: Pelvic floor dysfunction is a major medical and social problem. Dynamic MR imaging of the pelvic floor is an excellent tool for assessing functional disorders of the pelvic floor. Findings reported at dynamic MR imaging of the pelvic floor are valuable for selecting patients who are candidates for surgical treatment and for choosing the appropriate surgical approach. Aim of the work: To highlight the role of dynamic MRI as a non-invasive method in the assessment of pelvic floor dysfunction in females. Methods: Dynamic and static MRI were performed in 20 female patients complaining of pelvic organ prolapse and/or stress urinary incontinence or defecation disorder. 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 75% in the anterior compartment, 80% in the posterior compartment, 65% in enteroceles and 75.0% in the middle compartment. Conclusion: MR imaging provides excellent soft tissue contrast to ensure adequate diagnosis of the muscular and fascial defects responsible for pelvic floor dysfunction.