الفهرس | Only 14 pages are availabe for public view |
Abstract MRI is a noninvasive reliable diagnostic method for evaluation of pelvic floor disorders in correlation with clinical findings. Due to its superiority in soft tissue contrast resolution, MRI contributes in prediction of incontinence by analyzing multiple quantitative and morphological parameters. Both static and dynamic MRI can also play a role in planning for surgical repair and in post-operative follow up to assess success or failure of sling surgery. This prospective study included 73 females (48 SUI, 13 urge and 12 Control). All patients underwent static and dynamic pelvic floor MRI. The SUI patients who had the mid urethral sling surgery, had another MRI examination as a follow up 6 months after the surgery.The aim of the study was to compare static and dynamic MRI findings (PFM, bladder neck and urethral sphincter) between continent and incontinent groups and in between two subtypes of incontinence (urge& stress) at rest and during straining. Also, we tried to define the parameters differentiating urethral hypermobility versus intrinsic sphincter deficiency. Pre and postoperative MRI findings at SUI group were compared against each other. We tried to evaluate role of multiple preoperative MRI parameters in prediction of success of mid-urethral sling surgery. |