International Urogynecology Journal

, Volume 20, Issue 2, pp 133–139

Magnetic resonance assessment of pelvic anatomy and pelvic floor disorders after childbirth

  • Victoria L. Handa
  • Mark E. Lockhart
  • Kimberly S. Kenton
  • Catherine S. Bradley
  • Julia R. Fielding
  • Geoffrey W. Cundiff
  • Caryl G. Salomon
  • Christiane Hakim
  • Wen Ye
  • Holly E. Richter
Original Article

DOI: 10.1007/s00192-008-0736-2

Cite this article as:
Handa, V.L., Lockhart, M.E., Kenton, K.S. et al. Int Urogynecol J (2009) 20: 133. doi:10.1007/s00192-008-0736-2

Abstract

To compare pelvic anatomy, using magnetic resonance imaging, between postpartum women with or without pelvic floor disorders. We measured postpartum bony and soft tissue pelvic dimensions in 246 primiparas, 6–12-months postpartum. Anatomy was compared between women with and without urinary or fecal incontinence, or pelvic organ prolapse; P < 0.01 was considered statistically significant. A deeper sacral hollow was significantly associated with fecal incontinence (P = 0.005). Urinary incontinence was marginally associated with a wider intertuberous diameter (P = 0.017) and pelvic arch (P = 0.017). There were no significant differences in pelvimetry measures between women with and without prolapse (e.g., vaginal or cervical descent to or beyond the hymen). We did not detect meaningful differences in soft tissue dimensions for women with and without these pelvic floor disorders. Dimensions of the bony pelvis do not differ substantially between primiparous women with and without postpartum urinary incontinence, fecal incontinence and prolapse.

Keywords

Anal sphincter laceration Fecal incontinence Magnetic resonance imaging Pelvimetry Pelvic organ prolapse Urinary incontinence 

Copyright information

© The International Urogynecological Association 2008

Authors and Affiliations

  • Victoria L. Handa
    • 1
    • 11
  • Mark E. Lockhart
    • 2
  • Kimberly S. Kenton
    • 3
  • Catherine S. Bradley
    • 4
  • Julia R. Fielding
    • 5
  • Geoffrey W. Cundiff
    • 6
  • Caryl G. Salomon
    • 7
  • Christiane Hakim
    • 8
  • Wen Ye
    • 9
  • Holly E. Richter
    • 10
  1. 1.Department of Gynecology and ObstetricsJohns Hopkins School of MedicineBaltimoreUSA
  2. 2.Department of RadiologyUniversity of Alabama at BirminghamBirminghamUSA
  3. 3.Department of Obstetrics and Gynecology and UrologyLoyola University Medical CenterMaywoodUSA
  4. 4.Department of Obstetrics and GynecologyUniversity of Iowa Carver College of MedicineIowa CityUSA
  5. 5.Department of RadiologyUniversity of North CarolinaChapel HillUSA
  6. 6.Department of Obstetrics and GynaecologyUniversity of British ColumbiaVancouverCanada
  7. 7.Department of Diagnostic RadiologyEdward V. Hines, Jr. Veterans’ Administration HospitalHinesUSA
  8. 8.Department of Radiology, Magee Women’s HospitalUniversity of Pittsburgh Medical CenterPittsburghUSA
  9. 9.Department of BiostatisticsUniversity of MichiganAnn ArborUSA
  10. 10.Department of Obstetrics and GynecologyUniversity of Alabama at BirminghamBirminghamUSA
  11. 11.Johns Hopkins Bayview Medical CenterBaltimoreUSA

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