الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 161 |  |  |
| | | from | 161 | | |
Abstract
Objective:
Stress urinary incontinence (SUI), defined as involuntary loss of urine during increased abdominal pressure, due to intrinsic sphincter deficiency or to hypermobility of the bladder neck or urethra is the most commonly encountered type of female urinary incontinence. This study is aimed to assess and compare the role of magnetic resonance imaging (MRI) in such patients.
Methods:
Twenty patients (mean age: 46.5 years old) with an established clinical diagnosis of SUI as well as 5 female volunteers (mean age: 29.4 years old) underwent pelvic floor MRI (static & dynamic). Hence, descent of the bladder below the pubococcygeal line, H & M lines measurements, levator plate orientation, vaginal configuration, puborectalis muscle and levator hiatus width were assessed.
Results:
Statistically MRI study showed significant elongation (p<0.05) of H line at rest and with pelvic strain (mean: 6.93 versus 4.78 cm in controls at rest and 7.81 versus 5.08 cm with strain respectively), widening of the elevator hiatus in 70% of patients in addition to puborectalis abnormalities in 55% of patients.
Conclusion:
MRI assessment of the pelvic floor can be indicated to detect the anatomical defects and lead to more successful patient management and subsequently decreases the rate of postoperative recurrence.