Posterior compartment anatomy as seen in magnetic resonance imaging and 3-dimensional reconstruction from asymptomatic nulliparas

Yvonne Hsu*, Christina Lewicky-Gaupp, John O L DeLancey

*Corresponding author for this work

Research output: Contribution to journalArticle

27 Scopus citations

Abstract

Objective: The objective of the study was to identify characteristic anatomical features of the posterior compartment using magnetic resonance (MR) cross-sectional anatomy and 3-dimensional (3-D) modeling. Study Design: Supine, static proton-density MR images of 20 nulliparas were analyzed. MR images were used to create models in a selected exemplar. Results: The compartment's upper, mid, and lower segments are best seen in the axial plane. It is bounded inferiorly by the perineal body, ventrally by the posterior vaginal wall, and dorsally by the levator ani muscles and coccyx. In the upper portion, the compartment is bordered laterally by the uterosacral ligaments, whereas in the middle portion, there is more direct contact with the lateral levator ani muscles. In the lower portion, the contact becomes obliterated because the vagina and levator ani muscles become fused to each another and to the perineal body. Conclusion: The posterior compartment has characteristic anatomic features in MR cross-sectional anatomy that can be further elucidated and integrated with 3-D anatomy.

Original languageEnglish (US)
Pages (from-to)651.e1-651.e7
JournalAmerican journal of obstetrics and gynecology
Volume198
Issue number6
DOIs
StatePublished - Jun 2008

Keywords

  • 3-dimensional anatomy
  • cross-sectional anatomy
  • levator ani
  • posterior compartment
  • uterosacral ligaments

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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