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Chapter 10 - Pelvic floor / prolapse

from Section 3 - Pelvis

Published online by Cambridge University Press:  05 November 2012

David J. Grand ,
Courtney A. Woodfield  and
William W. Mayo-Smith
David J. Grand
Affiliation:
Brown University, Rhode Island Hospital
Courtney A. Woodfield
Affiliation:
Brown University, Rhode Island Hospital
William W. Mayo-Smith
Affiliation:
Brown University, Rhode Island Hospital
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Summary

Pelvic prolapse protocol

Indications

This protocol is used to evaluate disorders of the pelvic floor including pelvic organ prolapse and defecatory function. Indications include pelvic organ prolapse, urinary and fecal incontinence or retention, and possible enteroceles, sigmoidoceles, and rectoceles.

Preparation

  • IV contrast agent: None

  • Oral contrast agent: None

  • NPO for 4 hours prior to the exam

  • Have the patient void prior to the start of the study

  • 120 cc sonography gel placed per rectum using 60 cc Tume syringe

  • Center patient on water-absorbent pad

  • Place cushion underneath the patient's knees

  • Center pelvic phased array coil slightly lower than usual on pelvis to cover the proximal thighs. Pelvic organs may descend during stress maneuvers.

  • Ensure patient understands how to perform Kegel and Valsalva maneuvers and understands the importance of evacuating the rectal contrast during the sagittal dynamic True FISP sequence.

Type
Chapter
Information
Practical Body MRI
Protocols, Applications and Image Interpretation
 , pp. 99 - 105
Publisher: Cambridge University Press
Print publication year: 2012

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