@article{d3e79e2f18eb45f490a22f914e4dbcfd,
title = "Magnetic resonance assessment of pelvic anatomy and pelvic floor disorders after childbirth",
abstract = "To compare pelvic anatomy, using magnetic resonance imaging, between postpartum women with or without pelvic floor disorders. We measured postpartum bony and soft tissue pelvic dimensions in 246 primiparas, 6-12-months postpartum. Anatomy was compared between women with and without urinary or fecal incontinence, or pelvic organ prolapse; P < 0.01 was considered statistically significant. A deeper sacral hollow was significantly associated with fecal incontinence (P = 0.005). Urinary incontinence was marginally associated with a wider intertuberous diameter (P = 0.017) and pelvic arch (P = 0.017). There were no significant differences in pelvimetry measures between women with and without prolapse (e.g., vaginal or cervical descent to or beyond the hymen). We did not detect meaningful differences in soft tissue dimensions for women with and without these pelvic floor disorders. Dimensions of the bony pelvis do not differ substantially between primiparous women with and without postpartum urinary incontinence, fecal incontinence and prolapse.",
keywords = "Anal sphincter laceration, Fecal incontinence, Magnetic resonance imaging, Pelvic organ prolapse, Pelvimetry, Urinary incontinence",
author = "Handa, {Victoria L.} and Lockhart, {Mark E.} and Kenton, {Kimberly S.} and Bradley, {Catherine S.} and Fielding, {Julia R.} and Cundiff, {Geoffrey W.} and Salomon, {Caryl G.} and Christiane Hakim and Wen Ye and Richter, {Holly E.}",
note = "Funding Information: Acknowledgements This study is supported by grants from the National Institute of Child Health and Human Development (U01 HD41249, U10 HD41268, U10 HD41248, U10 HD41250, U10 HD41261, U10 HD41263, U10 HD41269, and U10 HD41267). Funding Information: The Childbirth and Pelvic Symptoms study (CAPS) [13] was performed by the Pelvic Floor Disorders Network, a multicenter network supported by the National Institutes of Child Health and Human Development. The CAPS study was a prospective cohort study of primiparous women. The goal of CAPS was to study the relationship between obstetrical sphincter laceration and subsequent incontinence. CAPS compared three cohorts: (1) women with anal sphincter disruption, (2) women who delivered vaginally without clinically recognized anal sphincter disruptions, and (3) women who underwent cesarean delivery without labor. CAPS participants were approached to join the supplementary CAPS imaging study [14], which correlated standardized imaging (MR and endoanal ultrasound), physical examination findings, and symptom assessment 6–12 months after delivery.",
year = "2009",
doi = "10.1007/s00192-008-0736-2",
language = "English (US)",
volume = "20",
pages = "133--139",
journal = "International Urogynecology Journal",
issn = "0937-3462",
publisher = "Springer London",
number = "2",
}