Agreement Analysis of the Magnetic Resonance Defecography and Clinical Examination Findings in the Evaluation of Pelvic Floor Disorders

Year 2023, , 116 - 123, 03.07.2023

Esra Çıvgın

https://doi.org/10.5505/achmedj.2023.09797

Abstract

Introduction: Pelvic floor disorders (PFD) are more frequently seen in women and impairs quality of life. The aim of this study
was to find agreement between the clinical examination and magnetic resonance defecography (MRD) findings of female patients with
PFD related symptoms and to discuss the findings of MRD in PFD.
Methods: Seventy-six female patients with complaints of PFD and undergone MRD were included in the study. The pubococcygeal line
was used as the reference line for pelvic organ prolapse evaluation in MRD. MRD and clinical examination findings were compared.
Results: Agreement between the MRD and clinical examination findings
concerning the presence of cystoceles, rectoceles, entero/peritoneocele was
75%, 50%, and 60.52% respectively. However, the agreement was weaker
in terms of pelvic organ prolapse grading (44% for cystoceles, 32% for
rectoceles). Since there was no uterine prolapse detected on clinical examination an agreement test for uterine prolapse could not be performed.
Conclusion: MRD is complementary to clinical examination in terms of its ability to comprehensively evaluate all compartments simultaneously. MRD provides additional information to the clinical
examination in patients with symptoms related to PFD and should
be utilized, in symptomatic cases, if the clinical examination findings are negative or if multicompartmental pathologies are suspected.

Keywords

cystocele, enterocele, magnetic resonance defecography, pelvic floor disorders, rectocele, uterine prolapse