Özet:

To represent the clinical and radiological findings of cases evaluated by magnetic resonance (MR) defecography; to evaluate the relationship between pelvic floor prolapses (PFP), spastic pelvic floor syndrome (SPFS) and thicknesses of fat tissue and puborectal muscles. MR defecography of patients evaluated between September 2015 and September 2017 were investigated retrospectively. PFP, involved compartment, severity (minimal, moderate, advanced), rectocele, invagination, enterocele and spastic pelvic floor syndrome; suprapubic-presacral-pre-rectus abdominus fat tissue thicknesses, right and left puborectal muscle thicknesses were measured. The association of PFP subgroups (anterior, middle, posterior) with each other; the relationship between the severity of PFP and suprapubic, presacral and pre-rectus abdominus fat tissue thickness was analyzed by Spearman’s correlation test. For the groups with and without spastic pelvic floor syndrome, suprapubic, presacral, and pre-rectus abdominus fat tissue thickness and right-left puborectal muscle thicknesses were compared by T-test. Of the 63 cases (mean age 45, 49 female, 14 male), 62 posterior, 35 middle, and 36 anterior compartment prolapsus; 55 rectocele, 28 invagination, 3 enterocele, 1 hypermobile urethra and 19 cases of SPFS were detected. There was a strong correlation between the middle and the anterior compartment prolapsus. There was a statistically significant correlation between middle compartment and rectus abdominalis anterior fat tissue thickness and between anterior compartment and rectus abdominus anterior fat tissue thickness. In addition, the suprapubic fat tissue in the SPFS group was thinner. The strong correlation between the middle and anterior compartment prolapses can indicate that it is easy to involve the anterior compartment when middle compartment involved. The increase in fat tissue thickness may indicate that obesity may play a role in the aetiology of middle and anterior compartment prolapsus, but the effect of obesity in the posterior compartment pralapsus and SPFS may not be so significant.

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