Pelvic Floor Descent Radiology

Fifty patients satisfied the physical prerequisite to be examined in sitting position and they were asked to take part in the study.

Pelvic floor descent radiology.

Imaging of the pelvic floor. Symptoms such as obstructive defecation incontinence and sphincter complex disorders have a significant impact on patient lifestyle and physical mental well being 1 2. Weakening of the female pelvic floor is a prevalent and debilitating disorder. It is defined as a line that joins the inferior border of the symphysis pubis to the final coccygeal joint and it is drawn in a midline sagittal image.

Damage to other supporting structures within the pelvic floor can only be inferred from the presence of secondary signs and abnormal descent of the pelvic organs during a dynamic mr imaging study. Pelvic floor dysfunction is an umbrella term for a variety of disorders that occur when pelvic floor muscles and ligaments are impaired. On dynamic imaging pelvic floor descent is defined as anorectal junction descent of more than 2 5 cm below the pcl. There are two components of pelvic floor relaxation.

One anteroposterior with a widening of the puborectal hiatus and one vertical with pelvic floor descent. 37 2 2 prolapse pelvic organ prolapse pop also called urogenital prolapse is downward descent of the pelvic organs that results in a protrusion through the urogenital hiatus. Pelvic floor imaging is an important part of both gastrointestinal and functional urology urogynaecological departments. On the image subjectively assessed as showing the greatest degree of pelvic.

Although this condition predominantly affects females up to 16 of males suffer as well. The pubococcygeal line pcl is a reference line for the pelvic floor on imaging studies and helps detect and grade pelvic floor prolapse in defecography studies. By contrast the supporting fascia and ligaments are visible on high resolution mr images obtained with an endovaginal coil 16 18. Symptoms include pelvic pain pressure pain during sex incontinence incomplete emptying of feces and visible organ protrusion.

Two hundred patients with clinical symptoms suggestive for pelvic floor descent referred to our radiology department for pelvic dynamic mri for the evaluation of pelvic floor disorders. It results in abnormal descent of the urinary bladder the uterovaginal vault and the rectum resulting in urinary continence fecal incontinence and pelvic organ prolapse. Pelvic floor descent or descending perineal syndrome occurs when pelvic muscles lose tone resulting in excessive descent of the entire pelvis floor at rest or during evacuation.