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MRI of pelvic floor good for presurgical exam of cystocele: expert opinion.(Gynecology)
FORT LAUDERDALE, FLA. -- An MRI study of the pelvic floor is noninvasive and useful for presurgical evaluation of a cystocele, Dr. Sandip Vasavada said at a symposium on pelvic floor disorders sponsored by the Cleveland Clinic Florida.
Rapid sequence dynamic MRI offers an excellent view of all the pelvic organs and musculofascial support structures and causes minimal patient discomfort, said Dr. Vasavada of the Cleveland Clinic Foundation.
An MRI study provides additional information beyond the physical exam, which is especially helpful in patients who have a great deal of pain as well as prolapse.
An MRI doesn't subject patients to the radiation involved in evacuation proctography or positive contrast peritoneography.
MRIs are fast. The procedure takes less than 10 minutes, and the actual scan time is approximately 2.5 minutes. Also, MRIs involve no tubes or catheters.
"The only thing we ask patients to do is not to void before the MRI. We don't ask them to drink a gallon of water as with the ultrasound," Dr. Vasavada said.
As for the technique, the patient is placed in a supine position, and the static MRI views of the pelvis are taken, followed by dynamic views in which the patient stresses in a slow Valsalva maneuver. The pelvic MRI must be done in the closed MRI format, however.
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Source: HighBeam Research, MRI of pelvic floor good for presurgical exam of cystocele: expert...