RT Book, Section A1 Ramm, Olga A1 Kenton, Kimberly A2 Rogers, Rebecca G. A2 Sung, Vivian W. A2 Iglesia, Cheryl B. A2 Thakar, Ranee SR Print(0) ID 1105830645 T1 Pelvic Imaging T2 Female Pelvic Medicine and Reconstructive Surgery: Clinical Practice and Surgical Atlas YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-175641-9 LK obgyn.mhmedical.com/content.aspx?aid=1105830645 RD 2024/03/29 AB The clinical evaluation of pelvic floor disorders hinges on patient history and physical examination. Standardized systems for the clinical assessment of pelvic organ prolapse, such as the Baden–Walker Halfway System1 or the Pelvic Organ Prolapse Quantification (POP-Q) System,2 enable clinicians to reliably and reproducibly describe the extent of prolapse in each vaginal compartment.3,4 However, the underlying defects that contribute to the symptomatology of pelvic floor disorders often elude visual inspection in the office. The organ lying behind each prolapsed vaginal segment varies5,6 and important defects in the levator ani musculature cannot be visualized.7,8 Pelvic floor clinicians and researchers abandoned the terms “cystocele” or “rectocele” in favor of anterior vaginal wall or posterior vaginal wall prolapse to reflect clinicians’ inability to reliably determine the organ lacking support behind the prolapsed vaginal wall.