title: Role of conventional radiology and MRi defecography of pelvic floor hernias.
abstract: BACKGROUND
  Purpose of the study is to define the role of conventional radiology and MRI in the evaluation of pelvic floor hernias in female pelvic floor disorders.
  
  
  METHODS
  A MEDLINE and PubMed search was performed for journals before March 2013 with MeSH major terms 'MR Defecography' and 'pelvic floor hernias'.
  
  
  RESULTS
  The prevalence of pelvic floor hernias at conventional radiology was higher if compared with that at MRI. Concerning the hernia content, there were significantly more enteroceles and sigmoidoceles on conventional radiology than on MRI, whereas, in relation to the hernia development modalities, the prevalence of elytroceles, edroceles, and Douglas' hernias at conventional radiology was significantly higher than that at MRI.
  
  
  CONCLUSIONS
  MRI shows lower sensitivity than conventional radiology in the detection of pelvic floor hernias development. The less-invasive MRI may have a role in a better evaluation of the entire pelvic anatomy and pelvic organ interaction especially in patients with multicompartmental defects, planned for surgery.
authors.forename: Alfonso
authors.initials: A
authors.lastname: Reginelli
authors.forename: Graziella
authors.initials: G
authors.lastname: Di Grezia
authors.forename: Gianluca
authors.initials: G
authors.lastname: Gatta
authors.forename: Francesca
authors.initials: F
authors.lastname: Iacobellis
authors.forename: Claudia
authors.initials: C
authors.lastname: Rossi
authors.forename: Melchiore
authors.initials: M
authors.lastname: Giganti
authors.forename: Francesco
authors.initials: F
authors.lastname: Coppolino
authors.forename: Luca
authors.initials: L
authors.lastname: Brunese
mesh_terms: D019841:Defecography / Q000379:methods*; D005260:Female; D006547:Hernia / Q000000981:diagnostic imaging*; D006801:Humans; D008279:Magnetic Resonance Imaging; D059952:Pelvic Floor Disorders / Q000000981:diagnostic imaging*