ESUR Practice Recommendations Standardize Pelvic Floor Imaging Protocols

The ESUR Pelvic Floor Working Group recommends standardized protocols for fluoroscopic defecography, MR defecography, and pelvic floor ultrasound, using a compartment-based interpretation strategy to ensure consistent, clinically relevant assessments.

• Practice recommendations from the ESUR Pelvic Floor Working Group address inconsistent imaging approaches for pelvic floor dysfunction.
• MRI offers detailed multi-compartment structural and functional assessment; fluoroscopic defecography remains the mainstay for defecatory disorders; pelvic floor ultrasound is valuable for triage and anal sphincter evaluation.
• Standardized protocols and compartment-based reporting are emphasized, though the recommendations have not been prospectively validated in large-scale studies.

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