Many clinicians asserted that the optimal approach to treatment of PFD must be individu- alized for each patient on the basis of both the symptom complex and the specific anatomical and structural abnormalities.

Pelvic floor disorders are often complex with symptoms ranging from vague low back pain to major fecal incontinence and urinary incontinence.

The pelvic floor is a complex structure that supports the pelvic organs and provides resting tone and voluntary control of the urethral and anal sphincters. Dysfunction of or injury to the pelvic floor can lead to gastrointestinal, urinary, and sexual dysfunction.

The pelvic floor is composed of a network of muscles, ligaments, and fasciae, which provide active and passive support for the pelvic organs. Impairment of these pelvic floor elements can result in a variety of functional abnormalities and single or multicompartment organ prolapse. Knowledge of normal pelvic floor anatomy can aid the radiologist in understanding the complex nature of pelvic floor dysfunction and is important for comprehensive image interpretation. This article provides an overview of normal anatomy of the pelvic floor as seen on magnetic resonance imaging, ultrasound, and fluoroscopic studies performed in the evaluation of pelvic floor function.

The purpose of this commentary is to highlight several aspects of two main perspectives on sacrocolpopexy: surgical—which includes selection of a route for reconstruc- tive surgery, types of surgical meshes available, advantages and disadvantages of each type of mesh, and the associated postoperative complication—and radiologic, that is, the role of imaging in improving outcome.

In pelvic floor dysfunction (PFD), magnetic resonance imaging of the pelvic floor supporting system from a functional point of view allows radiologists to recognize and classify the types of defects in each supporting structure (namely, the urethral supporting system, the vaginal supporting system, and the anal sphincter complex).