Jose Gutierrez MD, Presenter: Nothing to Disclose

Giancarlo Schiappacasse MD, Abstract Co-Author: Nothing to Disclose

Felipe Gonzalez MD, Abstract Co-Author: Nothing to Disclose

1. To review the essential technical aspects of the MR defecography 2. To provide anatomical and physiological essential knowledge to understand the pathological conditions of the pelvic floor and its correlation on MRI 3. To show the signs of pelvic floor diseases on MR-defecography, and give tips to the report  

Introduction MRI technique Pelvic floor anatomy and fisiology Pathological conditions • Anterior compartment abnormalities • Middle compartment abnormalities • Posterior compartment abnormalities A clinical and functional view • Urinary incontinence • anal incontinence • constipation • genital prolapse Tips to report writing Conclusions  

1. Pelvic floor disorders affecting almost exclusively women and primarily manifested by constipation, genital prolapse, fecal incontinence and urinary incontinence, which cause significant impairment of quality of life 2. MR-defecography allows to analyze the dynamic behavior of pelvic floor, providing critical information for surgical planning, with clear advantages over conventional cysto-colpo-defecography 3. The anatomical approach alone is not enough. The functional perspective, and clinical correlate are basics for the final diagnostic  

Gutierrez, J, Schiappacasse, G, Gonzalez, F, MR Defecography in the Assessment of Pelvic Floor Disorders: Image with Anatomical, Clinical and Functional Correlation.  Radiological Society of North America 2013 Scientific Assembly and Annual Meeting, December 1 - December 6, 2013 ,Chicago IL. http://archive.rsna.org/2013/13027814.html