Value of express T2-weighted pelvic MRI in the preoperative evaluation of severe pelvic floor prolapse: a prospective study

Dynamic magnetic resonance imaging for grading pelvic organ prolapse according to the international continence society classification: Which line should be used?

“…Use of a speculum is never performed during routine MRI examination for obvious reasons. 7,8,24,25 However, it has been shown that their use during MRI examination would increase the rate of detection of posterior compartment prolapse in patients with voluminous cystoceles. 26 Another explanation is simply the fact that prolapse is not a consistent phenomenon from day to day and one testing situation to another.…”

“…Such correlations have unfortunately not yet been properly studied and the results are contradictory. 9,25,28 Secondly, the severity of symptoms and their characteristics (i.e., low urinary tract symptoms, rectal or bowel symptoms, sexual and pelvic floor dysfunction) must correlate with the degree and the location of the coexisting prolapse to provide a guarantee that the classification system proposed by the ICS is accurate. For clinical examination, two studies have attempted to correlate symptoms of pelvic floor dysfunction and the degree of POP according to the POP quantification.…”

A systematic review of clinical studies on dynamic magnetic resonance imaging of pelvic organ prolapse: the use of reference lines and anatomical landmarks

“…Underestimation of pelvic organ prolapse may lead to incomplete or incorrect surgery [5,13], which may be one of the reasons for the high rate of recurrences after prolapse surgery [14][15][16]. Imaging of the pelvic floor has become an important complementary tool in the assessment of pelvic floor disorders.…”

Practical guide to dynamic pelvic floor MRI

“…A correct and complete diagnosis by clinical examination alone can be challenging, particularly in cases of posterior vaginal wall prolapse and/or a multicompartment problem . Underestimation of pelvic organ prolapse may lead to an incorrect choice of treatment, contributing to high recurrence rates . Imaging has become an important complementary tool in the assessment of pelvic floor disorders, and dynamic pelvic floor magnetic resonance imaging (MRI), or MR defecography, has evolved as one of the essential imaging techniques .…”

“…5,6 Underestimation of pelvic organ prolapse may lead to an incorrect choice of treatment, contributing to high recurrence rates. 7,8 Imaging has become an important complementary tool in the assessment of pelvic floor disorders, and dynamic pelvic floor magnetic resonance imaging (MRI), or MR defecography, has evolved as one of the essential imaging techniques. [9][10][11] MRI can simultaneously noninvasively evaluate all pelvic floor compartments, and provide information about muscles and ligaments with great contrast resolution, without the use of ionizing radiation and with minimal patient discomfort.…”