Pelvic prolapse: assessment with evacuation proctography (defecography)

Kelvin, Frederick M.; Maglinte, Dean D. T.; Hornback, J. A.; Benson, J. Thomas

doi:10.1148/radiology.184.2.1620863

Cited by 196 publications

(116 citation statements)

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“…Before the develop ment of MR imaging, stress incontinence was evaluated using urodynarnic testing in conjunc tion with voiding cystourethrography or sonog raphy using a transrectal or translabial ap proach [4â€ "6].Advantages of these techniques include relative easeof performance and low cost. Recently, defecography has been per formed to assess pelvic floor relaxation, which often occurs with stress incontinence [7]. Using barium liquids and pastes,one can assessall three compartments of the pelvic floor; how ever, the technique is cumbersome.…”

Section: Discussionmentioning

confidence: 99%

MR imaging of pelvic floor continence mechanisms in the supine and sitting positions.

Griffiths

Versi

Mulkern

et al. 1998

American Journal of Roentgenology

141

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OBJECTIVE. Our goal wasto determinetheanatomicdifferencesin pelvic floor anatomy for continent women and women with stress incontinence using MR imaging and to assess whether theseanatomic differences depend on the position of the subject during imaging. SUBJECTS AND METHODS. Eight continentvolunteersandeight womenwith stressincontinence underwent MR imaging in the supine and sitting positions. For imaging, we used an open-configuration 0.5-1 magnet. T2-weighted images were obtained in the midline sagittal plane with subjectsat rest and at maximal pelvic floor strain in 5 secusing a modified fast spin echo sequence.In the axial plane, thin-section T2-weighted imageswere obtained with subjects at rest using a standard fast spin-echo technique. Images were evaluated for mobility of the ure thra and bladder neck and for integrity of the vagina, levator ani, and supporting fascia.RESULTS. Pelvic floor laxity and abnormalitiesof the supportingfasciawere morecom mon in incontinent women than in continent women. Both descent of the bladder neck when subjects strained and the posterior urethrovesical angle were not significantly greater when subjects were measured in the sitting position (p < .1).

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Section: Discussionmentioning

confidence: 99%

MR imaging of pelvic floor continence mechanisms in the supine and sitting positions.

Griffiths

Versi

Mulkern

et al. 1998

American Journal of Roentgenology

141

View full text Add to dashboard Cite

show abstract

“…However, for the identification of all compartments involved in the prolapse, and to differentiate between an enterocele and an anterior rectocele, additional imaging of the pelvic floor is frequently needed [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

POP-Q, dynamic MR imaging, and perineal ultrasonography: do they agree in the quantification of female pelvic organ prolapse?

et al. 2009

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Introduction and hypothesis This study evaluates the agreement in prolapse staging between clinical examination, dynamic magnetic resonance (MR), imaging and perineal ultrasonography. Methods Anatomical landmarks in the anterior, central, and posterior compartment were assessed in relation to three reference lines on dynamic MR imaging and one reference line on dynamic ultrasonography. These measurements were compared to the according POP-Q measurements. Agreement between the three methods was analyzed with Spearman's rank correlation coefficient (r s ) and Bland and Altman plots. Results Correlations were good to moderate in the anterior compartment (r s range=0.49; 0.70) and moderate to poor (r s range = −0.03; 0.49) in the central and posterior compartment. This finding was independent of the staging method and reference lines used. Conclusion Pelvic organ prolapse staging with the use of POP-Q, dynamic MR imaging, and perineal ultrasonography only correlates in the anterior compartment.

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“…One study examined 73 patients with indefinite anal complaints by means of defecography and detected rectocele in 29%, enterocele in 18% and sigmoidocele in 5% [8]. In another series, cinedefecography demonstrated pelvic floor abnormalities in 52% of 55 women with rectal prolapse [9].…”

Section: Discussionmentioning

confidence: 99%

Perineal Hernia in Women : Assessment with Evacuation Fluoroscopic Cystocolpoproctography

Araki¹,

Noake²,

Nagae³

et al. 2007

Kurume Med. J.

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Summary:The aim of this study is to assess the usefulness of fluoroscopic cystocolpoproctography in the treatment of female pelvic organ prolapse. The presence or absence of rectocele, enterocele, sigmoidocele, and the cystocele on cystocolpoproctography was retrospectively analyzed in 46 consecutive patients. A rectocele was detected in 4.5% of the patients, postvaginal hernia in 19.7%, cystocele in 3.0%, complete rectal prolapse in 53.0%, massive rectal prolapse in 10.6%, and incomplete rectal prolapse in 4.5% of the patients on cystocolpoproctography. Perineal hernia can include a combination of cystocele, rectocele, uterine prolapse, enterocele and rectal prolapse. Accurate diagnosis of the coexisting abnormalities is essential in planning reconstructive procedures so that the risks of recurrence and reoperation can be minimized. Fluoroscopic cystocolpoproctography provides direct visualization and quantification of female pelvic organ prolapse, information that usually can only be inferred by physical examination.

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Pelvic prolapse: assessment with evacuation proctography (defecography)

Cited by 196 publications

References 0 publications

MR imaging of pelvic floor continence mechanisms in the supine and sitting positions.

MR imaging of pelvic floor continence mechanisms in the supine and sitting positions.

POP-Q, dynamic MR imaging, and perineal ultrasonography: do they agree in the quantification of female pelvic organ prolapse?

Perineal Hernia in Women : Assessment with Evacuation Fluoroscopic Cystocolpoproctography

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