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Dynamic pelvic MRI evaluation of pelvic organ prolapse compared to physical exam findings

Urology Jun 27, 2018

Lin FC, et al. - Researchers performed a comparison of dynamic magnetic resonance imaging (dMRI) defecography phase findings with physical examination (PE) grading in the evaluation of pelvic organ prolapse (POP) via retrospectively reviewing 274 consecutive patients who underwent dMRI with defecography. Outcomes suggested that for anatomically significant prolapse in anterior and posterior compartments, the dMRI defecography phase correlated well. Compared to PE, dMRI demonstrated better enterocele detection and was better able to distinguish an enterocele from a rectocele. Thereby suggesting that in cases where the presence of an enterocele is unclear in apical and/or posterior compartments, dMRI could have the greatest diagnostic value.
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