Posterior compartment anatomy as seen in magnetic resonance imaging and 3-dimensional reconstruction from asymptomatic nulliparas.
OBJECTIVE
The objective of the study was to identify characteristic anatomical features of the posterior compartment using magnetic resonance (MR) cross-sectional anatomy and 3-dimensional (3-D) modeling.


METHODS
Supine, static proton-density MR images of 20 nulliparas were analyzed. MR images were used to create models in a selected exemplar.


RESULTS
The compartment's upper, mid, and lower segments are best seen in the axial plane. It is bounded inferiorly by the perineal body, ventrally by the posterior vaginal wall, and dorsally by the levator ani muscles and coccyx. In the upper portion, the compartment is bordered laterally by the uterosacral ligaments, whereas in the middle portion, there is more direct contact with the lateral levator ani muscles. In the lower portion, the contact becomes obliterated because the vagina and levator ani muscles become fused to each another and to the perineal body.


CONCLUSIONS
The posterior compartment has characteristic anatomic features in MR cross-sectional anatomy that can be further elucidated and integrated with 3-D anatomy.
Hsu
Yvonne
Y
Pelvic Floor Research Group and Division of Gynecology, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA.
Lewicky-Gaupp
Christina
C
DeLancey
John O L
JO
D000328:Adult; D001003:Anal Canal / Q000033:anatomy & histology*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008279:Magnetic Resonance Imaging; D010298:Parity; D017773:Pelvic Floor / Q000033:anatomy & histology; D011247:Pregnancy; D020047:Rectocele / Q000175:diagnosis*; D014596:Uterine Prolapse / Q000175:diagnosis*; D014621:Vagina / Q000033:anatomy & histology*