The inherent high soft-tissue contrast resolution of MRI allows for anatomic evaluation of the pelvic organs and structural changes after surgery [37,40,108]. In addition to changes in native anatomy, MRI is able to visualize implanted synthetic material including urethral bulking agents, midurethral slings, and different types of vaginal mesh and their complications, although scar tissue may appear similar to sling and mesh components and can confound evaluation [107]. Although there are no studies evaluating the utility of gadolinium IV contrast after surgical repair in the pelvic floor, certain complications such as collections or fistula may be better depicted with contrast as is the case in other parts of the body. MR defecography is generally performed without IV contrast may thus be limited compared with MRI pelvis with IV contrast for this indication. Pelvic Floor Dysfunction in Females Furthermore, functional evaluation with the defecography component of the examination would only be indicated if there is concern for recurrent prolapse, urinary incontinence, or defecatory dysfunction. MRI Pelvis Dynamic Maneuvers without Defecation MRI pelvis with dynamic maneuvers (dynamic pelvic floor MRI) includes both anatomic and functional evaluation of the pelvic floor and, similar to MR defecography, can be performed in postsurgical patients with subacute or chronic complications only if there is suspicion for persistent or recurrent prolapse or other pelvic floor dysfunction. The inherent high soft-tissue contrast resolution of MRI allows for anatomic evaluation of the pelvic organs and structural changes after surgery [37,40,108]. In addition to changes in native anatomy, MRI is able to visualize implanted synthetic material including urethral bulking agents, midurethral slings, and different types of vaginal mesh and their complications, although scar tissue may appear similar to sling and mesh components and can confound evaluation [107].
Pelvic Floor Dysfunction in Females. The inherent high soft-tissue contrast resolution of MRI allows for anatomic evaluation of the pelvic organs and structural changes after surgery [37,40,108]. In addition to changes in native anatomy, MRI is able to visualize implanted synthetic material including urethral bulking agents, midurethral slings, and different types of vaginal mesh and their complications, although scar tissue may appear similar to sling and mesh components and can confound evaluation [107]. Although there are no studies evaluating the utility of gadolinium IV contrast after surgical repair in the pelvic floor, certain complications such as collections or fistula may be better depicted with contrast as is the case in other parts of the body. MR defecography is generally performed without IV contrast may thus be limited compared with MRI pelvis with IV contrast for this indication. Pelvic Floor Dysfunction in Females Furthermore, functional evaluation with the defecography component of the examination would only be indicated if there is concern for recurrent prolapse, urinary incontinence, or defecatory dysfunction. MRI Pelvis Dynamic Maneuvers without Defecation MRI pelvis with dynamic maneuvers (dynamic pelvic floor MRI) includes both anatomic and functional evaluation of the pelvic floor and, similar to MR defecography, can be performed in postsurgical patients with subacute or chronic complications only if there is suspicion for persistent or recurrent prolapse or other pelvic floor dysfunction. The inherent high soft-tissue contrast resolution of MRI allows for anatomic evaluation of the pelvic organs and structural changes after surgery [37,40,108]. In addition to changes in native anatomy, MRI is able to visualize implanted synthetic material including urethral bulking agents, midurethral slings, and different types of vaginal mesh and their complications, although scar tissue may appear similar to sling and mesh components and can confound evaluation [107].