In this series, complex pelvic organ prolapse was present in 70% of the patients and for the diagnosis of complex pelvic organ prolapse, we chose to use dynamic MR defecography
, which provides excellent morphological and functional information on the pelvic floor.
A clinical diagnosis of obstructive defecation syndrome (Wexner constipation score = 14) and anterior anal fissure was made; the patient was then subject to colonoscopy and defecography
that showed an anterior rectocele with an ampullary invagination.
It is known as defecography
or evacuation proctography.
Patients were referred to MR defecography
between July 2012 and February 2017 in three different Italian diagnostic centres (centre 1, Ancona; centre 2, Acilia, Rome; and centre 3, Monselice, Padua).
Gatta et al., "Role of conventional radiology and MRi defecography
of pelvic floor hernias," BMC Surgery, vol.
The commonly employed imaging methods include defecography
, contrast enhanced computerized tomography scan, MRI scan and ultrasonography including endorectal sonography.
Patients were evaluated using standardized clinical and paraclinical investigations such as anoscopy, colonoscopy, defecography
, colon transit time, endoanal sonography and anal manometry.
(which makes it possible to visualize the rectal emptying process) can be helpful if a diagnosis of rectal prolapse is being considered.
* imaging tests, such as pelvic or abdominal sonography, MRI defecography
, spinal imaging, CAT scan of the abdomen and pelvis or other imaging tests
If you've ever smiled at the word "defecography
" (NOPE ...
Occasionally, if the clinical examination does not match the patient's symptoms, radiologic studies such as a defecography
can help identify the support defects.