{"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\">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\">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\">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\">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\">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\">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\"><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\">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":{"0":"post-3456","1":"page","2":"type-page","3":"status-publish","5":"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}]}}