Pelvic organ prolapse is one of the most common disorders and it concerns over 50% of women over the age of fifty who gave birth.
Background: The purpose of this study was to establish a clinically useful protocol of MR investigation in the assessment of pelvic organs position changes during rest and in time of Velsalva test
Objective: The material includes 17 postmenopausal women (48- 59-years-old) who were examined due of lumbosacralis discopathy in MR division of USK 1 in Lodz since 2007. The examination was extended to pelvic organs imaging with the help of Velsalva test.
Results: Having compared static and dynamic images of investigated group and results of reference lines measurements, we have found normal pelvic organ position comparing to the H line in case of 10 women, in case of 5 women there was just a small displacement--up to 2 cm under the H line--and in case of 2 other women 2 cm above the H line. We have also found substantial increase of P line length (over 25% during tenesmus) in women with pelvic floor disorders.
Conclusion: Dynamic MR imaging proves extremely useful in evaluation of pelvic organs position changes during rest and in time of Velsalva test.