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Magnetic Resonance Defecography in female patients with pelvic floor dysfunction age from 60
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Abstract
Objective: We describe characteristics dynamic MR defecography in female patients with pelvic floor dysfunction, age
from 60. Methods Describing cross-study. 106 patients were indicated magnetic resonance defecography by coloproctologist from 09/2016 to 04/2017, at Thong Nhat Hospital, Ho Chi Minh City. Results Defecatory dysfunction is the most common symptom (83,1%). The prevalence of urinary incontinence and pain is 34% and 59,4%, respectively. There is a significant difference in the ratio of pelvic floor descent between the groups who have and no have children. The ratio of pelvic floor descent of the group who have 1-2 children is significantly greater than the group have more than 3 children. The correlation between age and the degree of pelvic floor descent is weak. The combination of pelvic organ prolapses usually occurs. If there is only one pelvic compartment prolapse, it is the posterior compartment prolapse, which counts for only 5,6%. The degree of all the rectoceles is from the second degree and 83,1% of this still contain ultrasound gel after defecation phase. The prevalence of Anismus is only 3/106 and none of this combine with retocele. Conclusions Age, menopause and childbirth all have influence
on the weakness of pelvic floor. In the older group, the combination of pelvic floor organ prolapses usually occurs. Rectocele is also common while Anismus is a uncommon condition.
Article Details
Keywords
MR defecography, pelvic floor dysfunction, female age from 60, ectocele, Anismus
References
2. Goh V, Halligan S, Kaplan G (2000),“Dynamic MR Imaging of
3. Healy JC, Halligan S, Reznek K (1997), “Dynamic MRI imaging compared ith evacuation proctography hen evaluating anorectal configuration and pelvic floor movement”, AJR, 169: 775-779.
4. Heine JA, Hong PD (1995), “Surgery of the colon, rectum and anus”, Philadelphia, PA: HB Saunders, 515-513.
5. Hetzer FH, Andreisek G, Tsagari C (2006), “MR defecography in patients fecal incontinence: imaging findings and their effect on surgical management”, AJR, 240: 449-457.
6. Jeremiah C. , Stephen H. , Rodney H. (1997), “Dynamic MR Imanging compared with Evacuation Proctography when evaluating anorectal configuration and pelvic floor movement ”, AJR, 169: 775-779.
7. Johansson C, Nilsson BY, Holmstrom B, Dolk A, Mellgren A (1992), “Association between rectocele and paradoxical sphincter response”. Dis Colon Rectum, 35: 503-509.
8. Lamb GM, De Jode MG, Guold SW (2000), “Upright dynamic MR defeacating proctography in an open configuration MR system”, The British Journal of Radiology, 73: 152-155.
9. Roos Je, Weishaupt D, Wildermuth S ( 2002), “Experience of 4 years with open MR defecography: pictorial review of anorectal anatomy and diseCase”, 22: 817-832.
10. Sung VW, Hampton BS ( 2009), “Epidemiology of pelvic floor dysfunction”, Obstet Gynecol Clin North Am, 36: 421-443. The Pelvic Floor in Asymptomatic Subjects.”, AJR, 174: 661-666.
11. Van Dam JH, Schouten WR (1996), “The impact of Anismus on the clinical outcome of rectocele repair”, International Journal of Colorectal disease, 11: 238-242.
12. Vanbeckevoort D, Van Hoe L (1999), “Pelvic floor descent in females: comparative study of colpocystodefecography and dynamic fast MR imaging”, J Magn Reson Imaging, 9: 373-377.
13. Võ Tấn Đức (2015), “Nghiên cứu các hình thái sa trực tràng kiểu túi với hỗ trợ của cộng hưởng từ động”, Luận án tiến sĩ y học, Trường Đại học Y dược thành phố Hồ Chí Minh.
14. Wallden L (1952), “Defecation block in cases of deep rectogenital pouch: a surgical roentgenological and embryological study with special reference to morphological condition”, Acta Chir Scand Suppl, 165: 1-122