Fig. 7
Case no. 3: A 41-year-old female presented with fecal incontinence, obstructed defecation, stress urinary incontinence, and history of five vaginal deliveries went for T2W MRI—sagittal view—dynamic MRI images. Dynamic MRI imaging during straining showed marked levator hiatus enlargement (H line = 10.43 cm), marked pelvic floor relaxation (M line = 7.86 cm) (a), moderate bladder base descent and urethral hypermotility, moderate cervical and vaginal vault descent (b), and marked caudal angulation of levator plate, levator plate angle = 66°. Progressive low intrarectal intussusception (yellow arrows) and open anal canal with inadequate rectal evacuation and residual intrarectal gel during defecatory phase (c)