Urinary incontinence MRI

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Nasrin Nikravangolsefid, MD-MPH [2]

## Overview[edit | edit source]

MRI is not indicated for the diagnosis of urinary incontinence but may be helpful to detect pelvic organ prolapse and anatomical defects. Findings on MRI suggestive of urinary incontinence include lower thicknesses of pelvic floor muscles. Shorter length of membranous urethra on MRI might be associated with higher risk of developing urinary incontinence after prostatectomy.

## Key MRI Findings in Urinary incontinence[edit | edit source]

* MRI is not indicated for the diagnosis of urinary incontinence but may be helpful to detect pelvic organ prolapse and anatomical defects. [1]
* MRI may be helpful in the diagnosis of urinary incontinence. Findings on MRI suggestive of urinary incontinence include lower thicknesses of pelvic floor muscles such as right and left puborectalis parts of levator ani muscle in patients with stress or mixed urinary incontinence. [2]
* Shorter membranous urethra length on MRI might be associated with higher risk of developing urinary incontinence after prostatectomy. [3] Thus, MRI is a helpful imaging modality to predict urinary incontinence after radical prostatectomy. [4]

## References[edit | edit source]

1. ↑ Artibani W, Cerruto MA (2005). "The role of imaging in urinary incontinence". BJU Int. 95 (5): 699–703. doi:10.1111/j.1464-410X.2005.05433.x. PMID 15784080.
2. ↑ Yaşar L, Telci SO, Doğan K, Kaya E, Ekin M (2019). "Predictive role of measurement of pelvic floor muscle thickness with static MRI in stress and mixed urinary incontinence". Int Urogynecol J. 30 (2): 271–277. doi:10.1007/s00192-018-3663-x. PMID 29779185.CS1 maint: Multiple names: authors list (link)
3. ↑ Sauer M, Tennstedt P, Berliner C, Well L, Huland H, Budäus L; et al. (2019). "Predictors of short and long term urinary incontinence after radical prostatectomy in prostate MRI: Significance and reliability of standardized measurements". Eur J Radiol. 120: 108668. doi:10.1016/j.ejrad.2019.108668. PMID 31546125.CS1 maint: Multiple names: authors list (link)
4. ↑ Tienza A, Hevia M, Benito A, Pascual JI, Zudaire JJ, Robles JE (2015). "MRI factors to predict urinary incontinence after retropubic/laparoscopic radical prostatectomy". Int Urol Nephrol. 47 (8): 1343–9. doi:10.1007/s11255-015-1019-8. PMID 26049974.CS1 maint: Multiple names: authors list (link)

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