Perineal descent and patients' symptoms of anorectal dysfunction, pelvic organ prolapse, and urinary incontinence.
OBJECTIVE
The aim of this dynamic magnetic resonance (MR) imaging study was to assess the relation between the position and mobility of the perineum and patients' symptoms of pelvic floor dysfunction.


METHODS
Patients' symptoms were measured with the use of validated questionnaires. Univariate logistic regression analyses were used to study the relationship between the questionnaires domain scores and the perineal position on dynamic MR imaging, as well as baseline characteristics (age, body mass index, and parity).


RESULTS
Sixty-nine women were included in the analysis. Only the domain score genital prolapse was associated with the perineal position on dynamic MR imaging. This association was strongest at rest.


CONCLUSIONS
Pelvic organ prolapse symptoms were associated with the degree of descent of the perineum on dynamic MR imaging. Perineal descent was not related to anorectal and/or urinary incontinence symptoms.
Broekhuis
Suzan R
SR
791 Department of Obstetrics and Gynecology, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, The Netherlands. S.Broekhuis@obgyn.umcn.nl
Hendriks
Jan C M
JC
Fütterer
Jurgen J
JJ
Vierhout
Mark E
ME
Barentsz
Jelle O
JO
Kluivers
Kirsten B
KB
D000328:Adult; D000368:Aged; D001004:Anus Diseases; D003248:Constipation / Q000503:physiopathology; D005242:Fecal Incontinence / Q000503:physiopathology*; D005260:Female; D005414:Flatulence / Q000503:physiopathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000503:physiopathology*; D010502:Perineum / Q000503:physiopathology*; D012002:Rectal Diseases; D014549:Urinary Incontinence / Q000503:physiopathology*