Pelvic floor diseases affected around 25% of all women in the United States. Disorders of the anterior compartment of the pelvic floor, in particular, could result in symptoms such as incomplete voiding, urine incontinence, pelvic organ prolapse, dyspareunia, and pelvic discomfort, thereby lowering a woman’s quality of life. In some clinical conditions, a clinical exam alone might be insufficient, especially if the patient’s symptoms outnumbered the findings of their pelvic exam. In many of these patients, dynamic magnetic resonance imaging (dMRI) of the pelvic floor proved to be a useful imaging technique for assessing the overall pelvic anatomy and function.

Traditionally, the anterior compartment had been evaluated mostly by clinical examination, with urodynamic tests and ultrasonography being used on occasion. Due to its enhanced image quality, repeatability, and capacity to depict the whole pelvic floor, dMRI had grown in popularity in recent years. dMRI had also proved to be useful in the postoperative situation, according to emerging research. Despite advancements, there was still debate in the literature about the accuracy of dMRI and its relationship to clinical examination and patient complaints.

Dynamic pelvic MRI is a useful supplement to physical examination and urodynamic testing, especially when a patient’s symptoms outweighed the physical examination findings. In many patients, dMRI evaluation could guide preoperative and after surgical care, particularly in the setting of multicompartmental diseases.