Anatomically and functionally, the female pelvic floor is intricate. Because the fasciae and muscles of the pelvic
floor work together as a single functional unit, problems with one area can lead to issues with the others. For
either conservative or surgical therapy to be successful, it is necessary to accurately diagnose the particular PFD
and identify any related illnesses. Surgical intervention is considered the primary strategy in the management of
pelvic floor disorders; non-surgical options abound. Surgical procedures for these conditions can be transvaginal
or transabdominal, and their specificity depends on the patient's condition. For less severe or asymptomatic
conditions, non-surgical options include (a) watching the patient closely or training the muscles in the pelvic
floor; (b) using biofeedback to treat dyssynergia or spastic pelvic floor syndrome; or (c) inserting a pessary to
correct prolapse in patients who are unable or unwilling to undergo surgery, are not good candidates, or are
experiencing temporary prolapse. Accurate detection of problems in this context requires familiarity with the
various surgical methods and the anticipated imaging appearances of these operations, as imaging may play a
significant role in both preoperative planning and postoperative evaluation of outcomes and complications. In
this medical context, a variety of imaging modalities may be used, including computed tomography (CT),
voiding cystourethrography, ultrasonography, and magnetic resonance imaging (MRI). |
