Imam Khomeini Hospital, Medical Imaging Center-Cancer Institute
Trans labial US is an easy and available modality with low cost and is recommended as the first line of imaging evaluation. US also lacks the disadvantage of limitation access to patient.
MRI with multiple sequences in static and dynamic series can play a major role in definition of multi compartment nature of most of pelvic floor disorders and potentially can provide a road map for Gynecologist for best surgical planning.
In this presentation we describe the US (2D & 3D) and MRI findings in various defects of muscular support of pelvic floor and endopelvic fascia responsible for dysfunctions in Anterior, mid and posterior compartments.
Pelvic floor disorders consist of a wide spectrum of various pathologies and account for a variety of clinical presentations. Clinical complains include urinary and fecal incontinence, chronic pelvic pain, sexual dysfunction, constipation and genital prolapsed. They make a significant impairment in quality of life and involve up to 30% of middle age women. Basically the first method of investigation is manual exam preferably POP-Q. However, it is not enough as there is a high recurrence rate after pelvic floor surgeries. In this way imaging modalities may help in more precise detection of pelvic floor dysfunction and to determine if the defect is global or confined to a specific compartment.