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Prospective observational study to Evaluate the role of MRI in diagnosis and management of pelvic floor Dysfunctions

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S NO NAME AGE OP NO PARITY Presenting Complaint

Degree of Uterine

Prolapse Cystocele Type of cystocele Rectocele Enterocele

Degree of

Prolapse H line M Line

At rest (in cms) At straining

(in cms) At rest (in cms) At straining (in cms)

1 Priya 32 342 2 Chronic pelvic Pain No Prolapse No Cystocele - - - - 5.2 5.2 2 2

2 Suganthi 35 123 3 Mass Decending PV 1st Degree No Cystocele - - - I st degree 5.4 6 1.5 4

3 Akhila 36 453 2 Chronic pelvic Pain No Prolapse No Cystocele - - - - 5.4 5.4 2.2 2.2

4 Muniamma 38 765 2 Mass Decending PV 1st Degree No Cystocele - - - I st degree 5.5 6.1 2 2.9

5 Valli 33 384 3 Difficulty in Urination No Prolapse Grade 1 Central Grade 1 - - 5.1 5.2 2 2.4

6 Savithri 40 274 3 Mass Decending PV 1st Degree Grade 1 Equivocal Grade 1 - I st degree 5.3 6.1 2.1 3.2

7 Seethalakshmi 39 128 2 Mass Decending PV 1st Degree No Cystocele - - - I st degree 5.2 5.9 2.2 3.2

8 Revathi 30 324 3 Mass Decending PV No Prolapse No Cystocele - - - I st degree 5 5.6 1.8 3.1

9 Devika 37 332 2 Mass Decending PV 1st Degree Grade 1 Central Grade 1 - I st degree 5 5.4 2.1 2.7

10 Sarojini 36 675 3 Difficulty in Defaecation No Prolapse No Cystocele - - - - 5 5 1.7 1.7

11 latha 37 721 2 Difficulty in Urination - Grade 2 Central - - - 5.2 6.6 2.2 4.8

12 narmadha 38 450 3 Mass Decending PV 1st Degree Grade 1 Central - - 2nd degree 6 8 3.1 5.2

13 chandra 34 832 2 Mass Decending PV No Prolapse - - - - 1st Degree 5 5.8 2 3.6

14 ambika 40 845 3 Mass Decending PV 1st Degree Grade 1 Central - - 1st Degree 5.6 7.8 2.3 5.2

15 tamilarasi 42 861 3 Mass Decending PV No Prolapse - - - - 1st Degree 5 6.2 2.4 4.1

16 selvi 36 765 3 Difficulty in Defaecation - - - Grade 1 - - 5.2 5.4 2.1 3.2

17 selvi palani 38 560 2 Difficulty in Urination - Grade 1 Equivocal - - - 5 6.2 2 3.3

18 Devika 34 453 2 Chronic pelvic Pain - - - 5 6 2.3 3.6

19 parvathy 35 234 3 Mass Decending PV 1st Degree Grade 1 Central - - 1st Degree 5.2 6.2 2.3 4.1

20 parimala 33 8712 3 Mass Decending PV 1st Degree Grade 1 Equivocal - - 1st Degree 5.2 5.4 2.1 3.2

21 mangalam 36 345 4 Mass Decending PV 1st Degree Grade 1 Central - - 1st Degree 5.4 6.4 2.3 4

22 lakshmi 34 567 3 Mass Decending PV 1st Degree Grade 1 Central - - 1st Degree 5 6.1 2 3.2

23 manickeswari 38 798 2 Difficulty in Urination - - - 5 6 2.3 3.6

24 nirupama 38 986 2 Mass Decending PV No Prolapse - - - - 1st Degree 5.1 6.2 2 3.1

25 nirmala 40 765 2 Mass Decending PV 1st Degree - - - - 1st Degree 5.1 6 2.1 3.6

26 padma 41 543 3 Mass Decending PV 1st Degree - - - - 1st Degree 5.1 6 2.1 3.6

27 sethulakshmi 42 234 2 Mass Decending PV 1st Degree - - - - 1st Degree 5.3 6.1 2.3 3.7

28 rukmani 44 786 2 Mass Decending PV 1st Degree Grade 1 Equivocal - - 1st Degree 5.2 6.1 2.3 3.8

29 bama 45 908 3 Mass Decending PV No Prolapse - - - - 1st degree 5.1 6 2.1 3.6

30 poongavanam 43 888 3 Mass Decending PV 1st Degree - - - - 1st Degree 5.1 6 2.1 3.6

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31 fathima 42 702 3 Mass Decending PV 2 nd degree grade2 Central - - 2 nd degree 5.6 7 2.1 5.1

32 neelima 44 722 3 Mass Decending PV 2 nd degree grade1 Equivocal - - 2 nd degree 5 7.1 2.2 5.6

33 shanthi 46 734 3 Mass Decending PV 2 nd degree - - - - 2 nd degree 5.4 7.5 2.3 5.7

34 tamilarasi 47 745 3 Mass Decending PV 2 nd degree grade2 Central - - 2 nd degree 5.7 7.8 2.4 6

35 geetha 48 756 3 Mass Decending PV 2 nd degree grade2 Central - - 2 nd degree 5.4 7.6 2.3 5.8

36 kala 46 767 3 Mass Decending PV 2 nd degree grade2 Central - - 2 nd degree 5.6 7.7 2.2 5.9

37 jaya 45 7890 3 Mass Decending PV 2 nd degree grade2 Central grade1 - 2 nd degree 5.8 7.5 2.4 6

38 komalavalli 48 712 2 Mass Decending PV 2 nd degree grade2 Central - - 2 nd degree 5.2 7.8 2.5 5.2

39 saritha 48 314 3 Mass Decending PV 2 nd degree grade2 Central - - 2 nd degree 5.3 7.9 2.1 5.3

40 tamilselvi 49 256 3 Mass Decending PV 2 nd degree grade2 Equivocal - - 2 nd degree 5.4 7.8 2.2 6

41 veni 50 2690 3 Mass Decending PV 2 nd degree grade1 Central - - 2 nd degree 5.2 7.6 2.3 5.9

42 malarvizhi 48 708 4 Mass Decending PV 2 nd degree grade1 Central grade1 - 2 nd degree 5.3 7.4 2.4 5.8

43 sathya 45 920 2 Mass Decending PV 2 nd degree grade1 Central grade1 - 2 nd degree 5.6 7.5 2.5 6

44 roopavathy 46 931 3 Mass Decending PV 2 nd degree grade1 Central - - 2 nd degree 5.8 6.9 2.8 6

45 umayal 43 942 4 Mass Decending PV 2 nd degree grade1 Central - - 2 nd degree 5.4 7.7 3 6.1

46 sethu parvathy 44 953 4 Mass Decending PV 2 nd degree grade1 Central - - 2 nd degree 5.2 7 2.3 6.2

47 sarasu 49 964 3 Mass Decending PV 2 nd degree grade1 Central - - 2 nd degree 5.3 6.9 2.4 6

48 visalam 46 811 2 Mass Decending PV 2 nd degree grade1 Central - - 2 nd degree 5.5 7.1 2 5.9

49 meenatchi 47 812 3 Mass Decending PV 2 nd degree grade1 equivocal - - 2 nd degree 5.4 7 2.1 5.8

50 vani 50 832 3 Mass Decending PV 2 nd degree grade1 central - - 2 nd degree 5.6 6.7 2.6 5.7

51 sumathi 45 882 3 Mass Decending PV 2 nd degree Grade 2 paravaginal - - 2 nd degree 5.1 7.1 2.8 6

52 sargunam 42 834 3 Mass Decending PV 2 nd degree Grade 2 central - - 2 nd degree 5.2 7.8 2.4 6

53 yasodha 43 845 3 Mass Decending PV 2 nd degree Grade 2 central - - 2 nd degree 5 7.7 2.5 5.9

54 dhanam 45 856 4 Chronic pelvic Pain 2 nd degree Grade 2 central - - 2 nd degree 5.5 7.9 2.6 6.1

55 manjula 44 878 3 Difficulty in Defaecation 1 st degree Grade 2 central grade1 - 2 nd degree 5.1 7.8 2.8 6

56 mariammal 43 8820 3 Difficulty in Urination 2 nd degree Grade 2 central - - 2 nd degree 5.3 7.7 3 5.7

57 sakthi 42 9000 3 Mass Decending PV 2 nd degree Grade 2 central - - 2 nd degree 5.2 7.8 2.7 5.8

58 malini 40 123 3 Difficulty in Urination 2 nd degree Grade 2 central - - 2 nd degree 5.4 7.7 2.8 6

59 meera 44 452 3 Difficulty in Urination 2 nd degree Grade 2 central - - 2 nd degree 5.8 7.9 3 5.8

60 vanitha 48 408 2 Difficulty in Urination 2 nd degree Grade 2 central - - 2 nd degree 5.6 8 2.9 5.9

61 sindhoori 60 122 2 Mass Decending PV 3rd Degree Grade 2 Equivocal - - 3rd Degree 9.4 10.1 4.8 7.6

62 manikavalli 62 136 2 Mass Decending PV 3rd Degree Grade 2 Central Grade 2 Present 3rd Degree 9.2 10 5 8

63 menaka 58 345 2 Mass Decending PV 3rd Degree Grade 2 Central - - 3rd Degree 9.1 9.9 4.9 7.7

64 mallikeswari 72 567 4 Mass Decending PV 3rd Degree - - - - 3rd Degree 9.5 10.1 4.4 8.1

65 manjula 70 798 3 Mass Decending PV 3rd Degree Grade 2 Equivocal Grade 2 Present 3rd Degree 9.3 10 4.7 7.5

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67 sheela 68 765 4 Mass Decending PV 3rd Degree Grade 2 paravaginal Grade 2 - 3rd Degree 9.1 10 4.9 7.7

68 shanthi 70 543 2 Mass Decending PV 3rd Degree Grade 2 transverse Grade 2 - 3rd Degree 9.5 10 5 8

69 rajeswari 72 234 2 Mass Decending PV 3rd Degree - - Grade 2 - 3rd Degree 9.6 10.2 5 8

70 meenakshi 74 786 2 Mass Decending PV 3rd Degree Grade 2 Equivocal Grade 2 - 3rd Degree 9.7 10.3 4.7 8.3

71 susila 67 908 5 Mass Decending PV 3rd Degree Grade 2 transverse - - 3rd Degree 9.1 9.8 4.8 8

72 uma 69 888 3 Mass Decending PV 3rd Degree Grade 2 transverse - - 3rd Degree 9.2 9.7 4.9 7.9

73 sundari 65 702 2 Mass Decending PV 3rd Degree Grade 2 transverse - - 3rd Degree 9.4 10 5 7.8

74 devika 64 722 3 Mass Decending PV 3rd Degree Grade 2 central - - 3rd Degree 9.5 10.1 5.1 7.7

75 radha 67 734 3 Mass Decending PV 3rd Degree Grade 2 central - - 3rd Degree 9.1 9.9 4.7 8

76 sasireka 69 745 3 Mass Decending PV 3rd Degree Grade 2 central - - 3rd Degree 9.7 10 4.6 7.9

77 sethulakshmi 66 756 3 Mass Decending PV 3rd Degree Grade 2 central - - 3rd Degree 9.8 10.2 4.8 7.6

78 radhika 69 767 4 Mass Decending PV 3rd Degree - - Grade 2 - 3rd Degree 9.7 10.3 4.7 7.8

79 kalaivani 70 345 2 Mass Decending PV 3rd Degree Grade 2 transverse Grade 2 - 3rd Degree 9.6 10.1 4.6 7.7

80 sasikala 71 123 5 Mass Decending PV 3rd Degree Grade 2 transverse Grade 2 - 3rd Degree 9.4 10 4.8 7.6

81 ramya 72 768 5 Mass Decending PV 3rd Degree Grade 2 transverse Grade 2 - 3rd Degree 9.3 9.9 4.9 8

82 oorvasi 74 324 3 Mass Decending PV 3rd Degree - - Grade 2 - 3rd Degree 9.1 9.8 5 7.8

83 meena 73 454 3 Mass Decending PV 3rd Degree Grade 2 central Grade 2 - 3rd Degree 9.3 10 4.3 7.7

84 mekala 67 332 2 Mass Decending PV 3rd Degree Grade 2 central Grade 2 - 3rd Degree 9.2 9.9 4.4 7.6

85 lalitha 66 345 2 Mass Decending PV 3rd Degree Grade 2 central Grade 2 - 3rd Degree 9.4 10 4.3 7.8

86 mala 68 212 3 Mass Decending PV 3rd Degree Grade 2 central Present 3rd Degree 9.3 9.9 4.2 7.9

87 rekha 70 234 3 Mass Decending PV 3rd Degree - - - - 3rd Degree 9.2 9.7 4.4 8.1

88 savitri 65 333 2 Mass Decending PV 3rd Degree Grade 2 Central - - 3rd Degree 9.5 9.9 4.1 7.7

89 sethu 69 457 3 Mass Decending PV 3rd Degree - - - Present 3rd Degree 9.1 9.8 4.5 7.6

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Levator Plate Angle (in

degrees) CYSTOCELE TYPE OF CYSTOCELERECTOCELE ENTEROCELE Levator Plate Angle

At rest At strainingAt rest At straining

44 - -

-46 grade1 grade1 - 5.3 5.9 1.5 2 44.5

44 - -

-47 - - - 5.5 6.1 1.8 2 43.8

44.3 grade2 central grade1 - 5.1 5.2 1.9 1.9

47 grade1 transverse - - 5.1 5.2 1.8 1.8 44.5

46 grade1 paravaginal - - 5.2 5.9 2 2.2 44.6

47.2 - - - 5 5.6 1.8 1.9 45.5

46 - - - 5 5.4 2 2.1 45.2

44.4 - grade1 - 5 5 1.7 1.7 44.4

50 grade 2 Central - - 5.2 6.6 1.8 2.6 46.2

48 Grade 1 Central - - 6 8 2.7 4.6 45

47.6 - - - - 5 5.8 2 2.1 46

48 Grade 2 central - - 5.6 7.8 2 4.8 46.3

49 - - - - 5 6.2 2.1 2.2 45.8

47.1 - - Grade 1 - 5.2 5.4 1.8 2.1 44.8

47.8 Grade 1 paravaginal - - 5 6.2 1.8 2.7 46.2

48 Grade 1 Central - - 5 6 2 2.3 46.1

49 Grade 1 Central - - 5.2 6.2 1.8 3.7 46.2

47.1 Grade 1 paravaginal - - 5.2 5.4 1.7 2.9 47.1

48 Grade 2 Central - - 5.4 7.9 2.1 3.4 46

47.6 Grade 1 central - - 5 6.1 2 2.6 45

48 Grade 1 Central - - 5 6 2 2.3 46.1

47.9 - - - - 5.1 6.2 2 2.2 45

48.3 - - - - 5.1 6 2 2.6 46.8

47.9 - - - - 5.1 6 2 2.6 45.1

48 - - - - 5.3 6.1 2 2.7 45.1

49.2 Grade 1 transverse - - 5.2 6.1 1.9 3.1 47.1

48.3 Grade 1 Central - - 5.1 6 1.8 2.9 45.7

48.3 - - - - 5.1 6 2 2.6 46.8

MRI before Kegel's excercises MRI after Kegel's excercises

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49.5 grade2 central - - 5.6 7 2.1 5 48

50 grade2 central - - 5 7.1 2.1 5.6 48.1

50.1 - - - - 5.4 7.5 2.3 5.6 48.5

51 grade2 central - - 5.7 7.8 2.4 6 50.1

52 grade2 central - - 5.4 7.6 2.2 5.8 51

51.5 grade2 central - - 5.6 7.7 2.2 5.9 51

50 grade2 central grade1 - 5.8 7.5 2.3 5.9 49

50 grade2 central - - 5.2 7.8 2.5 5.2 50

49.5 grade2 central - - 5.3 7.9 2.1 5.3 49.5

51 grade 2 transverse grade1 - 5.4 7.8 2.1 5.8 50.5

50 grade1 central - - 5.2 7.6 2.2 5.9 49.5

49.5 grade1 central grade1 - 5.3 7.4 2.4 5.8 49.5

51 grade1 central grade1 - 5.6 7.5 2.5 6 51

50 grade1 central - - 5.8 6.9 2.8 6 50

50 grade1 Central - - 5.4 7.7 2.9 6 49.5

51 grade1 central Central - 5.2 7 2.3 6.2 51

49.5 grade1 Central - - 5.3 6.9 2.3 5.8 49

50 grade1 Central - - 5.5 7.1 2 5.7 49

51 grade1 paravaginal - - 5.4 7 2.1 5.8 51

50 grade1 central - - 5.6 6.7 2.5 5.7 50

49.5 grade2 paravaginal - - 5.1 7.1 2.8 6 49.5

51 grade2 central - - 5.2 7.8 2.4 6 51

50 grade2 central - - 5 7.7 2.4 5.7 49.5

50.5 grade2 central - - 5.5 7.9 2.5 6 50

49 grade2 central grade2 - 5.1 7.8 2.8 5.9 48.5

49.5 grade2 central - - 5.3 7.7 3 5.7 49.5

48 grade2 central - - 5.2 7.8 2.6 5.4 47

50 grade3 central - - 5.4 7.7 2.7 5.7 49

51 grade2 central - - 5.8 7.9 3 5.8 51

50 grade2 central - present 5.6 8 2.7 5.6 48

57 grade2 transverse -

-58 Grade 2 Central Grade 2 Present

57 Grade 2 Central -

-55 - - -

-60 Grade 2 paravaginal Grade 2 Present

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-60.5 Grade 2 paravaginal Grade 2

-58 Grade 2 transverse Grade 2

-57 - - Grade 2

-55 Grade 2 paravaginal Grade 2

-56.4 Grade 2 transverse -

-55 Grade 2 transverse -

-54 Grade 2 transverse -

-55 Grade 2 central -

-54 Grade 2 central -

-53.5 Grade 2 central -

-54.5 Grade 2 central -

-55 - - Grade 2

-56 Grade 2 transverse Grade 2

-58 Grade 2 transverse Grade 2

-57 Grade 2 transverse Grade 2

-55 - - Grade 2

-58 Grade 2 central Grade 2

-59 Grade 2 central Grade 2

-57 Grade 2 central Grade 2

-54 Grade 2 central Present

58 - - -

-55 Grade 2 Central -

-59 - - - Present

References

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