Cystocele - Pelvis MRI

This video presents pelvis mri in a patient with a large cystocele.

Clinical information. 61-year-old female. Difficult to defecate with straining. Fecal incontinence.

Technique. Multiplanar, multisequence MR images of the pelvis without and with 8 mL of catalyst for intravenous contrast enhancement. Dynamic bowel summer maneuver images were also obtained.

Findings. There is abnormal the descent and bulging of the anterior vaginal wall caused by the urinary bladder with Valsalva maneuver. The posterior wall of the urinary bladder descend along an arc, initially moving posteriorly and inferiorly to deforming the anterior wall of the vagina and then bulging forward as it exited the introitus. The bladder is below the pubic symphysis by 5.3 cm with maximum Valsalva maneuver.