Question 1752
{"accessible":true,"alternatives":[{"id":8708,"text":"mild anterior compartment descent, mild middle compartment descent, mild posterior compartment descent"},{"id":8707,"text":"mild anterior compartment descent, normal middle compartment, mild posterior compartment descent"},{"id":8704,"text":"normal anterior, middle and posterior compartments"},{"id":8705,"text":"normal anterior compartment, mild middle compartment descent, normal posterior compartment"},{"id":8706,"text":"normal anterior compartment, mild middle compartment descent, mild posterior compartment descent"}],"archived":false,"correctAlternativeId":8708,"explanation":"\u003cp\u003eIn the PCL system of pelvic floor assessment, 1 cm is subtracted from the measurements in the anterior and middle compartments, to take account of normal pelvic floor descent with straining. 3 cm is subtracted from the posterior compartment. The rule of 3s\u0026nbsp;is then applied to the corrected measurements. For anterior rectoceles, the rule of 2s is applied. Read about how the rules are applied in the article on the \u003ca href=\"/articles/pubococcygeal-line\"\u003epubococcygeal line\u003c/a\u003e.\u003c/p\u003e\u003cp\u003eIn this case, the results are as follows:\u003c/p\u003e\u003cp\u003eanterior compartment: corrected 0.3 cm: mild descent\u003c/p\u003e\u003cp\u003emiddle compartment: corrected 0.8\u0026nbsp;cm: mild descent\u003c/p\u003e\u003cp\u003eposterior compartment: corrected 2.7\u0026nbsp;cm below line: mild anorectal junction descent\u003c/p\u003e\u003cp\u003eanterior rectocele: large-sized\u003c/p\u003e\u003cp\u003e\u003c/p\u003e","id":1752,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/248/Annotated_PF_images_02.002_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":49263},"imageAttributionCaseInfo":{"title":"Full thickness posterior rectal wall prolapse and anterior rectocele","contributor_name":"Vikas Shah","contributor_param":"vikasshah","case_rid":49263,"case_param":"full-thickness-posterior-rectal-wall-prolapse-and-anterior-rectocele"},"firstQuestionPath":"/questions/1752","nextQuestionPath":"/articles/mr-defaecating-proctography/questions/1751","relatedArticles":[{"id":76416,"title":"Pubococcygeal line","link":"/articles/pubococcygeal-line?lang=us"}],"alsoUsedIn":[{"id":233,"kind":"Course","title":"Pelvic Floor Imaging","link":"https://radiopaedia.org/courses/pelvic-floor-imaging"},{"id":792,"kind":"Course","title":"Lectures by Vikas Shah - page 792","link":"https://radiopaedia.org/courses/lectures-by-vikas-shah/pages/792"},{"id":1197,"kind":"Course","title":"Abdominal Lectures - page 1197","link":"https://radiopaedia.org/courses/abdominal-lectures/pages/1197"}],"stem":"\u003cp\u003eThis is an annotated image from a dynamic pelvic floor MRI study, with the pelvic organs at their lowest position. What is your interpretation of the measurements?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1752"}],"attemptsPercentages":[{"alternativeId":"8704","percentage":4},{"alternativeId":"8706","percentage":15},{"alternativeId":"8705","percentage":4},{"alternativeId":"8708","percentage":65},{"alternativeId":"8707","percentage":11}],"promptToLogin":false,"questionManager":false,"articleId":"mr-defecating-proctography"}