Role of Conventional Radiology and MRi Defecography of Pelvic Floor Hernias

Overview

Journal BMC Surg

Publisher Biomed Central

Specialty General Surgery

Date 2013 Nov 26

PMID 24267789

Citations 8

Authors

Alfonso Reginelli

Graziella DI Grezia

Gianluca Gatta

Francesca Iacobellis

Claudia Rossi

Melchiore Giganti

Francesco Coppolino

Luca Brunese

Affiliations

Soon will be listed here.

Abstract

Background: Purpose of the study is to define the role of conventional radiology and MRI in the evaluation of pelvic floor hernias in female pelvic floor disorders.

Methods: A MEDLINE and PubMed search was performed for journals before March 2013 with MeSH major terms 'MR Defecography' and 'pelvic floor hernias'.

Results: The prevalence of pelvic floor hernias at conventional radiology was higher if compared with that at MRI. Concerning the hernia content, there were significantly more enteroceles and sigmoidoceles on conventional radiology than on MRI, whereas, in relation to the hernia development modalities, the prevalence of elytroceles, edroceles, and Douglas' hernias at conventional radiology was significantly higher than that at MRI.

Conclusions: MRI shows lower sensitivity than conventional radiology in the detection of pelvic floor hernias development. The less-invasive MRI may have a role in a better evaluation of the entire pelvic anatomy and pelvic organ interaction especially in patients with multicompartmental defects, planned for surgery.

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