Integrated MR Analytical Approach and Reporting of Pelvic Floor Dysfunction

Sayed, El

doi:10.1016/j.rcl.2019.11.007

Cited by 2 publications

(1 citation statement)

References 32 publications

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“…To avoid such recurrence and unmasking of latent symptoms, surgery must be tailored for each patient based on the specific anatomical and structural abnormalities of the pelvic floor in conjunction with clinical status. New MRI analytical approach (static and dynamic) can provide the detailed data regarding the predominant defects in the pelvic support system, and thus guide a more tailored approach to treatment [9,10]. The Aim of this work is to asses the impact of MRI defectography on the surgical approach in patients with PFD.…”

Section: Introduction and Aim Of The Workmentioning

confidence: 99%

Impact of MRI Defectography on Surgical Approach in Patients with Pelvic Floor Dysfunction

Ahmed¹

2023

WHSJ

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Background: Surgical treatment of pelvic floor dysfunctions carries frequent recurrences. The aim of the study was to evaluate the role dynamic MRI defecography in demonstrating the underlying anatomic and pathophysiologic background of pelvic floor disorders in these patients to guide surgical approach and minimize failure. Methods: Patients underwent perineal examination, conventional defecography, anorectal manometry, colonoscopy, and MRI defecography. The different pelvic floor morphologies were recorded. The type of treatment, whether conservative or surgical, was also recorded. Results: In total, 33 patients were included, with mean age 46.78 ± 10.51 years and the majority (69.7 %) of patients were female. 31 patients (93.9 %) with perineal descent, 21 patients (63.6 %) with rectoceles , 19 patients (57.57 %) with cystoceles, 4 patients (12.1 %) with enteroceles, 15 patients (45.4 %) with intussusceptions, 14 patients (42.2 %) with uterine prolapse and 12 patients with dyskinetic puborectalis muscle. The findings of dynamic MRI defecography were consistent with clinical results in 54.54 % with additional diagnostic parameters in 45.45 % of patients. Dynamic MRI findings changed treatment decision in 15 (45.5 %) patients with surgical treatment performed in 21 patients (63.6 %) and conservative treatment in 12 patients (36.3 %). Conclusion: Dynamic MRI defecography represents an essential diagnostic procedure in females and to a lesser extent in males, especially in terms of dynamic imaging of the pelvic floor organs during defecation. In addition to the clinical assessment, dynamic MRI defecography had clinical impact in pelvic floor dysfunction and interdisciplinary treatment decisions

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Section: Introduction and Aim Of The Workmentioning

confidence: 99%

Impact of MRI Defectography on Surgical Approach in Patients with Pelvic Floor Dysfunction

Ahmed¹

2023

WHSJ

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Ultrasonography of solitary rectal ulcer syndrome (review and case reports)

et al. 2022

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Solitary rectal ulcer syndrome (SRUS) is a chronic benign disease with an unclear pathogenesis and a wide range of macroscopic changes of rectal and sigmoid colon wall, without any specific clinical symptoms. Its detection and differential diagnosis with tumors and inflammatory bowel disease often is challenging. The aim was to assess the entire spectrum of SRUS manifestations, as well as to analyze the possibilities of ultrasound and other imaging modalities (barium enema, defecography, MRI, CT) in its diagnostics. Clinical cases showed that every method solves its own tasks, revealing structural and/or functional changes in SRUS, and makes a valuable contribution to the final diagnosis

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Integrated MR Analytical Approach and Reporting of Pelvic Floor Dysfunction

Cited by 2 publications

References 32 publications

Impact of MRI Defectography on Surgical Approach in Patients with Pelvic Floor Dysfunction

Impact of MRI Defectography on Surgical Approach in Patients with Pelvic Floor Dysfunction

Ultrasonography of solitary rectal ulcer syndrome (review and case reports)

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