Review the magnetic resonance imaging (MRI) findings of pelvic floor dysfunction (PFD) Provide correlation between MRI and clinical findings in patients with PFD Establish the advantages of a structured MRI evaluation in the assessment of patients with suspected PFD
Pelvic floor dysfunction (PFD) is a wide spectrum of functional conditions that result from pelvic floor’s supporting structures abnormalities.
These conditions are associated with great impairment of quality of life,
as they can cause: Stress urinary incontinence Faecal incontinence Constipation Difficulty in voiding Chronic pain Pelvic organ prolapse Sense of pressure Sexual dysfunction Female sex and ageing are considered the most important risk factors for PFD,
which affects approximately...
Findings and procedure details
Recommended MRI Imaging Protocols Staticand dynamic sequences should be acquired; T2-weighted images (T2WI) are recommendedfor both,
due to its greater anatomic detail.
( Fig. 1 ).
 T1WI should complement the examination,
whenever a pelvic lesion is detected. Static images → Detection and classification of structural abnormalities → Pelvic floor anatomy → Defects of the supporting structures → Anal sphincter complex Dynamic images (during squeezing,
straining and defecation) → functional...
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,
sincesurgical repair of only one compartment may result in an increasing of dysfunctionof the other also damaged compartments.
 MRI frequently allows an accurate anatomic and...
Preoperative and Postoperative Magnetic Resonance Imaging of Female Pelvic Floor Dysfunction: Correlation with Clinical Findings.J Women’s Imaging 2005;7:163–180 Kaufman,
Dynamic Pelvic Magnetic Resonance Imaging and CystocolpoproctographyAlter Surgical Management of Pelvic Floor Disorders.
Dis Colon Rectum 2001;44:1575-1584 El Sayed,
Magnetic resonance imaging of pelvic floor dysfunction - joint recommendations of the ESUR and ESGAR Pelvic...