MSCT of the Pelvic Organs
Multislice computed tomography (MSCT) of the pelvic organs is one of the most accurate and informative diagnostic methods. It provides a detailed visualization of all pelvic structures, allowing detection of even minor pathological changes. MSCT is used for primary diagnostics, differential evaluation and monitoring of gynecological, urological, vascular and oncological conditions.
When the Examination Is Performed
For Women:
- urethral fistula;
- inflammatory diseases of the pelvic organs;
- post-traumatic conditions;
- pelvic pain of unclear origin;
- benign or malignant pelvic tumors.
For Men:
- evaluation of pathological processes;
- pelvic pain of unclear etiology;
- trauma assessment;
- localization and staging of oncological diseases;
- detection of metastases;
- evaluation of treatment (surgical or radiological);
- diagnosis of perianal fistulas.
What MSCT Shows
The scan visualizes:
- all pelvic organs, bones, sacrum, coccyx and pelvic floor muscles;
- tumors (benign, malignant), cysts, metastases;
- traumatic injuries and their consequences;
- vascular abnormalities;
- ruptures of organs, soft-tissue injuries;
- bladder or rectal prolapse;
- urinary bladder sand and ureteral changes.
Additional findings:
In Women:
- inflammatory diseases of reproductive organs;
- pus or blood clots in the fallopian tubes;
- prolapse or descent of the uterus.
In Men:
- inflammatory diseases (orchitis, vesiculitis);
- prostate structural changes;
- congenital abnormalities of the urinary and reproductive system.
For intestinal or ureteric pathologies, MSCT of the pelvic organs may be combined with abdominal MSCT.
How the Procedure Is Performed
Before the scan, the patient removes all metal-containing clothing and accessories. The patient lies on a movable CT table. To obtain sharp images, it is crucial to remain still during scanning, which is ensured by fixation straps or cushions if needed.
If contrast enhancement is required, a catheter is inserted before the start. One dose of contrast is administered before scanning, and the second — during the procedure. Communication with the medical staff is maintained via an intercom system.
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