Comparative study between dynamic MRI and pelvic organography in diagnosis of pelvic floor disorders

Objective To evaluate the clinical value of simultaneously combi ne d pelvic floor dynamic MRI and pelvic organography in diagnosing female pelvic f loor disorders and search for the best imaging model for diagnosing pelvic floor disorders. Methods Thirty women with pelvic floor disorders received pelvic flo or dynamic MRI and simultaneously combined pelvic organography including cystour ethro graphy,peritoneography,vaginography and defecography. Clinical diagnostic value was compared between this two methods. Results The diagnostic accuracy of pelvic floor dynamic MRI and simultaneously combined pelvic organograph for cys tocele,anorectal junction abnormal descent,pelvic floor hernia,uterocervical pro lapse was 100%,95.2%,86.7%,85.7%respectively. Rectocele and prolapse of rect al were diagnosed by pelvic organograph in 12 and 28 cases respectively,while o nly 6 and 0 cases were diagnosed by pelvic floor dynamic MRI respectively. The m ean examining time of pelvic floor dynamic MRI and simultaneously combined pelvi c organography was(16±3)min,(34±9)min respectivly(P 0.01). Conclusion P elvic floor dynamic MRI combined with defecography is the best imaging model for diagnosing pelvic floor disorders.