Barbara Spodniaková, Ivan Hollý, Peter Papcun, Ladislav Krofta
Referred study presents a group of 164 women with symptomatic pelvic organ prolapse (minimum POP-Q II stadium)
in one of the three compartments. Each of the patients undergoes a MRI of the pelvic floor in rest and during Valsalva
manoeuvre. Following parameters are being studied: bony pelvic dimensions (bispinal diameter, bituberal diameter,
sacro-coccygeal inferior pubic point, infrapubic angle, levator plate angle in rest and during Valsalva) and muscle and
fascial defects. As a result, patients with symptomatic pelvic organ prolapse and levator ani avulsion have lower scores
of bituberal distance, higher values of infrapubic angle and levator plate angle in rest. Patients with prolapse and fascial
defects have higher angle of levator plate in rest. MRI plays an important role in the urogynecological diagnosis.