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The use of dynamic MR imaging in patients with clinical pelvic floor disorders
Author(s) -
Langenbach Marcel C.,
Park Clara,
Vogl Thomas J.,
Beeres Martin,
Scholtz JanErik,
GruberRouh Tatjana
Publication year - 2021
Publication title -
clinical physiology and functional imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.608
H-Index - 67
eISSN - 1475-097X
pISSN - 1475-0961
DOI - 10.1111/cpf.12681
Subject(s) - medicine , defecography , pelvic floor , magnetic resonance imaging , pelvic floor dysfunction , rectal prolapse , radiology , surgery , gynecology , rectum
Objectives To determine the differences and challenging aspects of dynamic magnetic resonance defecography (MRD) compared to conventional defecography (CD) in diagnostic of clinical symptomatic pelvic floor dysfunction. Methods Fifty patients (44 females, 6 males; mean age: 57 years) with symptomatic pelvic floor dysfunction underwent both examinations, CD and MRD. Results were retrospectively intra‐individual and interindividual evaluated in this multicentre study. Visibility and accuracy in diagnosis and classification of rectal prolapse, rectocele, enterocele, sigma diverticula and Cul‐de‐sac phenomenon/syndrome were observed. Differences were analysed using Mann–Whitney U test. P‐values < 0.05 were considered as statistically significant. Results CD was significantly superior to MRD in diagnosis and grading of rectal prolapse ( p < .001), diagnosis and metric measurements of rectoceles ( p = .016), diagnosis of elongated sigmoid colon ( p = .008) and Cul‐de‐sac phenomenon and syndrome, respectively ( p = .015; p = .008). MRD revealed equal results to CD in detection, localization, tendency to retention and enlargement of rectoceles ( p = .337) and findings of enteroceles ( p = .604) as well as sigma diverticula ( p = .149). Conclusions The complementary use of both examination methods, CD and MRD, is important to achieve a comprehensive look on every aspect of pelvic floor disorders and gain optimal results in detection and evaluation of all major disorders of the pelvic floor.