Pugliesi Rosa Alba, Triscari Barberi Marika, Roccella Giovanni, Gullo Giuseppe, Billone Valentina, Chitoran Elena, Cucinella Gaspare, Vernuccio Federica, Cannella Roberto, Lo Re Giuseppe
Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, Via del Vespro 129, 90127 Palermo, Italy.
Department of Obstetrics and Gynecology, Villa Sofia Cervello Hospital, University of Palermo, 90146 Palermo, Italy.
Diagnostics (Basel). 2025 Jun 26;15(13):1625. doi: 10.3390/diagnostics15131625.
Pelvic floor dysfunction (PFD) is one of the most significant postoperative consequences in gynecological surgery, leading to impaired bowel function, structural alteration, and reduced quality of life. The conventional technique using fluoroscopic defecography and perineal ultrasonography provides an incomplete assessment of multi-compartment defects and post-surgical changes. Magnetic resonance defecography (MRD) represents a valuable alternative imaging method in the assessment of PFD following gynecological surgery, increasing diagnostic accuracy and enabling personalized treatment planning. MRD achieves high-resolution multi-compartmental assessment of the pelvic floor in dynamic states. Particularly, it is able to detect postoperative complications such as mesh retraction, organ prolapse, and fistula formation, not visible to other modalities. This narrative review discusses the role of MRD in diagnosing PFD and its advantages in detecting functional and anatomical changes following gynecological surgery. This review also examined the ability of MRD to demonstrate surgical changes and its contribution to possible standardization in clinical practice.
盆底功能障碍（PFD）是妇科手术最严重的术后后果之一，会导致肠道功能受损、结构改变以及生活质量下降。使用荧光透视排粪造影和会阴超声检查的传统技术对多腔室缺陷和术后变化的评估并不全面。磁共振排粪造影（MRD）是评估妇科手术后PFD的一种有价值的替代成像方法，可提高诊断准确性并有助于制定个性化治疗方案。MRD能够在动态状态下对盆底进行高分辨率多腔室评估。特别是，它能够检测到其他检查方式无法发现的术后并发症，如网片回缩、器官脱垂和瘘管形成。这篇叙述性综述讨论了MRD在诊断PFD中的作用及其在检测妇科手术后功能和解剖学变化方面的优势。本综述还研究了MRD显示手术变化的能力及其对临床实践中可能实现标准化的贡献。
