{"id":3456,"date":"2023-05-31T11:18:58","date_gmt":"2023-05-31T09:18:58","guid":{"rendered":"https:\/\/ibdo.vitusdemos.de\/diagnostics\/pelvic-floor\/"},"modified":"2024-06-27T10:28:06","modified_gmt":"2024-06-27T08:28:06","slug":"pelvic-floor","status":"publish","type":"page","link":"https:\/\/ibdo.vitusdemos.de\/en\/diagnostics\/pelvic-floor\/","title":{"rendered":"The Pelvic Floor"},"content":{"rendered":"<div class=\"gb-container gb-container-7345e80c\" data-aos=\"fade-in\" data-aos-anchor-placement=\"top-bottom\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-b3142930\">\n<div class=\"gb-grid-column gb-grid-column-1a0e92c2\"><div class=\"gb-container gb-container-1a0e92c2\">\n<div class=\"gb-container gb-container-aab08a47\" id=\"txt\">\n\n<p class=\"has-contrast-2-color has-text-color has-link-color wp-elements-6337982f116831512788269d5d12fee1 wp-block-paragraph\">Pelvic floor dysfunction occurs, especially in women, after difficult births, vaginal surgery and with increasing age. The consequences are fecal and urinary incontinence and\/or difficulties with bowel and bladder emptying. It can also lead to protrusions of bowel loops, the bladder and the uterus.<\/p>\n\n\n\n<p class=\"has-contrast-2-color has-text-color has-link-color wp-elements-dd62cf7fd00f213dea909c9b459c61f4 wp-block-paragraph\">Magnetic resonance imaging (MRI) is today&#8217;s method of choice for comprehensive functional imaging diagnostics of the pelvic floor. In contrast to imaging the pelvic floor with X-rays (X-ray defecography or video defecography), there is no radiation exposure and all pelvic organs, including the small bowel loops and the urinary bladder, are imaged without the need to administer a contrast agent.<\/p>\n\n\n\n<p class=\"has-contrast-2-color has-text-color has-link-color wp-elements-04034975b33ea9c92064d42fb87f8823 wp-block-paragraph\">The loops of the small intestine in particular cannot be visualized with any other functional procedure apart from the pelvic floor MRI. However, a lowering of the small bowel loops during pushing (enterocele) often determines which surgical procedure can be used, e.g. to remove a protrusion of the rectal wall (rectocele), so that functional pelvic floor MRI is practically indispensable before such an operation.<\/p>\n\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-445df368\"><div class=\"gb-container gb-container-445df368\">\n<div class=\"gb-container gb-container-db34a62d\">\n\n<h5 class=\"gb-headline gb-headline-5b4669d4 gb-headline-text\">Our recommendation<\/h5>\n\n\n\n<p class=\"has-main-turq-hover-color has-text-color has-link-color wp-elements-4dbc15ec8ce208b325cd6c72f4abf297 wp-block-paragraph\">A detailed examination of the pelvic floor using MRI can help to identify weaknesses or injuries to the pelvic floor muscles and determine the cause of incontinence or pain.<\/p>\n\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div><div class=\"gb-container gb-container-55007258\" data-aos=\"fade-in\" data-aos-anchor-placement=\"top-bottom\">\n<div class=\"gb-container gb-container-26df1f31 cta-btn\"><a class=\"gb-container-link\" href=\"\/kontakt\/\"><\/a>\n<div class=\"gb-grid-wrapper gb-grid-wrapper-7a608224\">\n<div class=\"gb-grid-column gb-grid-column-124fc7e9\"><div class=\"gb-container gb-container-124fc7e9\"><\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-10aa380f\"><div class=\"gb-container gb-container-10aa380f\">\n\n<h2 class=\"gb-headline gb-headline-15108aeb gb-headline-text\">Get your appointment today.&nbsp;<\/h2>\n\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div><div class=\"gb-container gb-container-553bb4c5\" data-aos=\"fade-in\" data-aos-anchor-placement=\"top-bottom\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-53bc706f\">\n<div class=\"gb-grid-column gb-grid-column-54214824\"><div class=\"gb-container gb-container-54214824\"><\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-459443a0\"><div class=\"gb-container gb-container-459443a0\">\n<div class=\"gb-container gb-container-d6366384\" id=\"txt\">\n\n<p class=\"has-contrast-2-color has-text-color has-link-color wp-elements-d727dfc3fef47030a0131c65a4344fa9 wp-block-paragraph\">The examination only takes a few minutes. Before the examination, the rectum is filled with a special examination gel, a painless procedure. During the examination, there is verbal contact between the MRI team and the patient via microphone and headphones. First, images of the entire pelvis are taken to rule out malformations, inflammations and tumors as the cause of the symptoms and to see if the pelvic floor muscles are tightened. Instructions are then given to alternately tense, relax and squeeze the pelvic floor and, if necessary, to empty it.<\/p>\n\n\n\n<p class=\"has-contrast-2-color has-text-color has-link-color wp-elements-b703b446976a54cb384636a36c27371b wp-block-paragraph\">A live video, which is created from a lateral view, shows the changes in position of the individual organs during these maneuvers, allowing important conclusions to be drawn about the presence or extent of pelvic floor weakness and any accompanying illnesses. Preparation such as laxation or fasting are not necessary. No contrast agent or medication is injected. No medication needs to be discontinued before the examination.<\/p>\n\n\n\n<p class=\"has-contrast-2-color has-text-color has-link-color wp-elements-4a3c4e743d8b89879a25cdb75c02b95f wp-block-paragraph\"><em>Preparation such as laxation or fasting are not necessary. No contrast agent or medication is injected. No medication needs to be discontinued before the examination.<\/em><\/p>\n\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-6c69d0d1\"><div class=\"gb-container gb-container-6c69d0d1\">\n<div class=\"gb-container gb-container-69415e5d\">\n\n<h5 class=\"gb-headline gb-headline-8275c7f8 gb-headline-text\">Our recommendation<\/h5>\n\n\n\n<p class=\"gb-headline gb-headline-ae71b77d gb-headline-text\">Regular preventive care is important.<\/p>\n\n\n\n<p class=\"has-main-turq-hover-color has-text-color has-link-color wp-elements-4f204cad860011a43386e0c7d84dad29 wp-block-paragraph\">Adults up to the age of 40 should be screened every <strong>4<\/strong> years, and every <strong>2<\/strong> years after that. <\/p>\n\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div><div class=\"gb-container gb-container-05523e68\" data-aos=\"fade-in\" data-aos-anchor-placement=\"top-bottom\">\n<div class=\"gb-container gb-container-a3d3c39d\">\n\n<div class=\"cookieconsent-optout-marketing\">\n    <p>Please  \n    <a href=\"javascript:Cookiebot.renew()\">accept &#8220;marketing cookies&#8221;  <\/a>\n  to view this content from Youtube.com.<\/p>\n<\/div>\n\n\n<div class=\"gb-container gb-container-4f5ebd46\" data-cookieconsent=\"marketing\">\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-4-3 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Dynamic Pelvic MRI showing rectocele (Pelvic Floor Center of Orlando)\" width=\"1200\" height=\"900\" src=\"https:\/\/www.youtube.com\/embed\/RvFr_KhSnFU?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Please accept &#8220;marketing cookies&#8221; to view this content from Youtube.com.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":3450,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-3456","page","type-page","status-publish","infinite-scroll-item"],"acf":[],"_links":{"self":[{"href":"https:\/\/ibdo.vitusdemos.de\/en\/wp-json\/wp\/v2\/pages\/3456","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ibdo.vitusdemos.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ibdo.vitusdemos.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ibdo.vitusdemos.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ibdo.vitusdemos.de\/en\/wp-json\/wp\/v2\/comments?post=3456"}],"version-history":[{"count":7,"href":"https:\/\/ibdo.vitusdemos.de\/en\/wp-json\/wp\/v2\/pages\/3456\/revisions"}],"predecessor-version":[{"id":3603,"href":"https:\/\/ibdo.vitusdemos.de\/en\/wp-json\/wp\/v2\/pages\/3456\/revisions\/3603"}],"up":[{"embeddable":true,"href":"https:\/\/ibdo.vitusdemos.de\/en\/wp-json\/wp\/v2\/pages\/3450"}],"wp:attachment":[{"href":"https:\/\/ibdo.vitusdemos.de\/en\/wp-json\/wp\/v2\/media?parent=3456"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}