FEMALE URINARY INCONTINENCE: SPECTRUM OF FINDINGS AT PELVIC MRI AND URODYNAMICS

Abstract

ABSTRACT

Background: Weakening of the female pelvic floor is a common debilitating disorder.  It   leads to abnormal descent of the urinary bladder, the uterovaginal vault and the rectum, resulting in urinary incontinence, fecal incontinence and pelvic organ prolapse.  

Objective: is to focus on the role of urodynamic pelvic MRI for cases with stress urinary incontinence.

Patients and Methods: This study was carried out from Feb 2015 to April 2016 at radiology department  of Zagazig University hospitals. It included 30 female patients; with stress incontinence and 10 volunteer normal females. The mean age 59 ± 12.4 yrs (ranged from 25 to 78 yrs). They were referred from the outpatient clinics of Zagazig University hospitals to radiology department for urodynamic pelvic MRI examination.  

Results: Regarding the stress urinary incontinence, MRI parameters has marked agreement (P: 0.00) with urodynamic studies.

Conclusion: The use of  urodynamic pelvic  MRI  has  a promising results in assessment of stress  incontinence of urine. It is free from any radiation hazards. MRI has larger field of view making it suitable for accurately estimating larger degrees of proplase. 

Key words:  Pelvic MRI; stress incontinence; urodynamic; pelvic organ prolapse.