ESR Essentials: pelvic floor imaging—practice recommendations by the European Society of Urogenital Radiology - Takeaways - MDSpire

ESR Essentials: pelvic floor imaging—practice recommendations by the European Society of Urogenital Radiology

  • By

  • Mohamed A. Abdelatty

  • Aleksandra Stankiewicz

  • Francesca Maccioni

  • Rebeca Mirón Mombiela

  • Basma Amer

  • Sandra Sousa

  • Sonya Snape

  • Carlos Carnelli

  • Rita Lucas

  • Geertje Balk-Roos

  • Andelib Babatürk

  • Rania F. El Sayed

  • July 1, 2026

  • 0 min

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  • 1

    MR defecography is recommended for assessing pelvic floor dysfunction, especially in complex cases or post-surgery, with high-quality images required.

  • 2

    Conventional fluoroscopic defecography remains valuable for evaluating defecatory dysfunction, particularly when MRI results are inconclusive.

  • 3

    Endoanal ultrasound is the preferred method for assessing anal sphincter integrity, detecting internal anal sphincter tears with high sensitivity.

  • 4

    Pelvic floor dysfunction encompasses urinary incontinence, pelvic organ prolapse, chronic pelvic pain, and obstructed defecation syndrome.

  • 5

    The choice of imaging for pelvic floor dysfunction depends on patient compliance and may involve multiple modalities for comprehensive assessment.

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