[Dynamic MR colpocystorectography. A new methods for evaluating pelvic floor descent and genital prolapse].

AIM: Introduction of a new method for the dynamic evaluation of genital prolapse by using fast magnetic resonance imaging.
METHODS: Dynamic fast magnetic resonance imaging with pelvic floor contraction, relaxation and straining manoeuvres were performed with volunteers and patients presenting with pelvic descent. The urethra, bladder, vagina and rectum were opacified by using a water or Magnevist enteral solution.
RESULTS: Delineation and movement of the urethra, bladder, uterus, vagina, rectum and small bowel can be shown in a reliable manner. In comparison to dynamic fluoroscopy an equal or superior diagnosis has been achieved in all cases.
CONCLUSION: In comparison to dynamic fluoroscopy MR-Colpocystorectography is a promising new method in assessing pelvic floor descent and prolapse in women. Further studies will have to focus on standardisation and clinical implication.