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Dynamic Pelvic Floor Imaging at CDI Puget Sound

Pelvic floor disorders (PFDs) are common and can be debilitating. Their symptoms may vary from pain to urinary incontinence, voiding dysfunction, fecal incontinence, obstructed defecation or sexual dysfunction. MRI is a tool that can improve decision-making for better patient outcomes.

MRI can play a critical role in the appropriate care of these patients.

Anatomical Review: Due to superb soft-tissue contrast, MRI helps evaluate ligaments, muscles and pelvic organs. It can also detect incidental lesions such as urethral diverticula, fibroids and malignant lesions. 

Surgical Planning: PFD is one of the most common indications for pelvic floor surgery and a clinical exam alone may underestimate the degree of involvement. MRI allows visualization of all compartments of the pelvic floor in multiple planes, making it a preferred imaging option for improved surgical planning and outcomes. 

Functional Disorder Detection: Dynamic MRI evaluates functional disorders of the pelvic floor by scanning the patient at rest, during a Kegel maneuver (squeezing) and during a Valsalva maneuver (bearing down). This imaging series helps evaluate for abnormal movement of structures and relative changes seen related to the maneuvers.