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Abstract
Pelvic floor weakness is a significant women’s health problem that primarily affect parous women. Accurate preoperative evaluation of pelvic floor muscles and fascia is very important. Dynamic MRI is recognized as an important tool in the imaging evaluation of pelvic organ prolapse preoperatively. Postoperative dynamic MRI might be helpful to understand the development of recurrent pelvic organ prolapse. The aim of this study was to evaluate the role of MRI in preoperative diagnosis of symptomatic pelvic floor defects and also evaluate its role in post operative assessment of the repair done. This study were conducted on 20 females of different age groups and parity status presented to Shatby maternity hospital out patient clinic. These females are complaining of symptoms of genital prolapse.
Our results summarized that:
-The age ranged from 22-66 years with a mean of 41.212.6 years. Most of the studied patients (40.0%) were 30 or more years.
-For our patients gravidity ranged between 1-5 with a mean of 2.411.69, while parity ranged between 1-4 with a mean of 2.051.42. Most of the studied patients (50.0%) have gravidity between 3-5 and 50% have parity status between 1-3 and also, 50.0% have parity status between 3-5.
-All of the studied patients (100.0%) answered with ”yes” to question ”do you have a sensation of vaginal heaviness or pressure?”, 50.0% of the studied patients answered yes to question ”do you have a sensation of tissue protrusion (vaginal bluge) from vagina?”.
-Clinical finding in the studied patients group were found that, 30.0% have cystocele, 25.0% uterocervical vaginal prolapse, 20.0% CRC and 25.0% rectocele.
-Most of the MRI test (85.0%) agreement with clinical diagnosis, 10.0% partial agreement and 5.0% only disagreement with clinical diagnosis.
-The postoperative MRI finding 45.0% free, 30.0% same as pre operative, and 25.0% were deteriorated.