[Dynamic MR colpocystorectography. A new methods for evaluating pelvic floor descent and genital prolapse].
OBJECTIVE
Introduction of a new method for the dynamic evaluation of genital prolapse by using fast magnetic resonance imaging.


METHODS
Dynamic fast magnetic resonance imaging with pelvic floor contraction, relaxation and straining manoeuvres were performed with volunteers and patients presenting with pelvic descent. The urethra, bladder, vagina and rectum were opacified by using a water or Magnevist enteral solution.


RESULTS
Delineation and movement of the urethra, bladder, uterus, vagina, rectum and small bowel can be shown in a reliable manner. In comparison to dynamic fluoroscopy an equal or superior diagnosis has been achieved in all cases.


CONCLUSIONS
In comparison to dynamic fluoroscopy MR-Colpocystorectography is a promising new method in assessing pelvic floor descent and prolapse in women. Further studies will have to focus on standardisation and clinical implication.
Lienemann
A
A
Institut für Radiologische Diagnostik, Klinikum Grosshadern, Ludwig-Maximilians-Universität München.
Anthuber
C J
CJ
Baron
A
A
Reiser
M
M
D000368:Aged; D003287:Contrast Media; D005260:Female; D019786:Gadolinium DTPA; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008279:Magnetic Resonance Imaging / Q000295:instrumentation*; D008875:Middle Aged; D009942:Organometallic Compounds; D017773:Pelvic Floor / Q000473:pathology; D004369:Pentetic Acid / Q000031:analogs & derivatives; D012002:Rectal Diseases / Q000175:diagnosis; D012007:Rectum / Q000473:pathology; D001743:Urinary Bladder / Q000473:pathology; D001745:Urinary Bladder Diseases / Q000175:diagnosis; D014550:Urinary Incontinence, Stress / Q000175:diagnosis*; D014563:Urodynamics / Q000502:physiology; D014596:Uterine Prolapse / Q000175:diagnosis*; D014621:Vagina / Q000473:pathology
D003287:Contrast Media; D009942:Organometallic Compounds; D004369:Pentetic Acid; D019786:Gadolinium DTPA