Keywords:
Pelvic floor dysfunction, Defecography, Conventional radiography, MR, Pelvis, Gastrointestinal tract
Authors:
A. C. C. BRANDAO, L. Oliveira; rio de janeiro, RJ/BR
DOI:
10.1594/ecr2013/C-1235
Results
20 female patients with a mean age of 53 (26-86) years were prospectively evaluated by a radiologist with DMRD and by a colorectal surgeon with conventional defecography.
The results were analized and compared.
Abnormal findings were detected in all patients.
Good correlation was observed between the two methods concerning premature evacuation and incontinence (K=0.90),
rectoceles (K=0.55),
rectal emptying (k=0.50) and intussuception (k=0.41).
Defecography was superior in the detection of syndrome of spastic pelvic floor (anismus),
while enteroceles were only confirmed by DMRD in 7 patients.(k=0.20 and 0,39,
respectively)
In addition,
DMRD provided information about the coexistence of pelvic organ prolapse, and muscle and fascial abnormalities,
which were present in and 75% and 60%,
respectively.