Covering the entire spectrum of this fast-changing field, the fourth edition of Diagnostic Imaging: Gynecology is an invaluable resource for general radiologists, specialized radiologists, gynecologists, and trainees―anyone who requires an easily accessible, highly visual reference on today’s gynecologic imaging. Drs. Akram M. Shaaban, Douglas Rogers, and their team of highly regarded experts provide up-to-date information on recent advances in technology and the understanding of pathologic entities to help you make informed decisions at the point of care. The text is image-rich, with succinct bullets that quickly convey details, and includes the latest literature references, making it a useful learning tool as well as a handy reference for daily practice.
1. INTRODUCTION AND OVERVIEW - p. 35 2. Chapter 7: Anatomy of the Uterus - p. 35 3. AGE-RELATED CHANGES - p. 63 4. Chapter 8: Endometrial Atrophy - p. 63 5. CONGENITAL - p. 65 6. Chapter 9: Introduction to Müllerian Duct Anomalies - p. 65 7. Chapter 10: Arcuate Uterus - p. 69 8. Chapter 11: Septate Uterus - p. 71 9. Chapter 12: Bicornuate Uterus - p. 77 10. Chapter 13: Uterus Didelphys - p. 81 11. Chapter 14: Unicornuate Uterus - p. 87 12. Chapter 15: Müllerian Agenesis - p. 93 13. Chapter 16: DES Exposure - p. 99 14. Chapter 17: Accessory Cavitated Uterine Mass - p. 101 15. INFLAMMATION/INFECTION - p. 105 16. Chapter 18: Asherman Syndrome, Endometrial Synechiae - p. 105 17. Chapter 19: Endometritis - p. 109 18. Chapter 20: Superinfected Uterine Masses - p. 113 19. BENIGN NEOPLASMS - p. 117 20. ENDOMETRIUM - p. 117 21. Chapter 21: Endometrial Polyps - p. 117 22. Chapter 22: Endometrial Hyperplasia - p. 123 23. Chapter 23: Benign Biphasic Tumors - p. 127 24. MYOMETRIUM - p. 129 25. Chapter 24: Uterine Leiomyoma - p. 129 26. Chapter 25: Leiomyomas: Degeneration, Variants, and Complications - p. 135 27. Chapter 26: Benign Metastasizing Leiomyoma - p. 143 28. Chapter 27: Diffuse Leiomyomatosis - p. 145 29. Chapter 28: Intravenous Leiomyomatosis - p. 149 30. Chapter 29: Disseminated Peritoneal Leiomyomatosis - p. 155 31. Chapter 30: Lipomatous Uterine Tumors - p. 161 32. Chapter 31: Cotyledonoid Dissecting Leiomyoma - p. 165 33. MALIGNANT NEOPLASMS - p. 171 34. ENDOMETRIUM - p. 171 35. Chapter 32: Endometrial Carcinoma: Overview and Staging - p. 171 36. Chapter 33: Uterine Carcinosarcoma - p. 189 37. Chapter 34: Uterine Adenosarcoma - p. 193 38. Chapter 35: Endometrial Stromal Sarcoma - p. 197 39. Chapter 36: Gestational Trophoblastic Neoplasia: Overview and Staging - p. 203 40. MYOMETRIUM - p. 213 41. Chapter 37: Uterine Sarcoma: Overview and Staging - p. 213 42. Chapter 38: Uterine Leiomyosarcoma - p. 225 43. Chapter 39: Uterine Perivascular Epithelioid Cell Tumor (PEComa) - p. 231 44. VASCULAR - p. 235 45. Chapter 40: Uterine Arteriovenous Fistula and Malformation - p. 235 46. Chapter 41: Uterine Artery Embolization Imaging - p. 241 47. TREATMENT-RELATED CONDITIONS - p. 247 48. Chapter 42: Tamoxifen-Induced Changes - p. 247 49. Chapter 43: Contraceptive Device Evaluation - p. 253 50. Chapter 44: Post-Cesarean Section Appearance - p. 261 51. Chapter 45: Postablation Tubal Sterilization Syndrome (PATSS) - p. 265 52. ADENOMYOSIS - p. 269 53. Chapter 46: Adenomyosis - p. 269 54. Chapter 47: Focal Adenomyosis - p. 275 55. SECTION 3: CERVIX - p. 279 56. INTRODUCTION AND OVERVIEW - p. 279 57. Chapter 48: Anatomy of the Cervix - p. 279 58. BENIGN NEOPLASMS - p. 287 59. Chapter 49: Endocervical Polyp - p. 287 60. Chapter 50: Cervical Leiomyoma - p. 291 61. MALIGNANT NEOPLASMS - p. 297 62. Chapter 51: Cervical Carcinoma: Overview and Staging - p. 297 63. Chapter 52: Adenoma Malignum - p. 317 64. Chapter 53: Cervical Sarcoma - p. 323 65. TREATMENT-RELATED CONDITIONS - p. 327 66. Chapter 54: Posttrachelectomy Appearances - p. 327 67. MISCELLANEOUS - p. 329 68. Chapter 55: Cervical Glandular Hyperplasia - p. 329 69. Chapter 56: Nabothian Cysts - p. 333 70. Chapter 57: Cervical Stenosis - p. 337 71. SECTION 4: VAGINA AND VULVA - p. 341 72. INTRODUCTION AND OVERVIEW - p. 341 73. Chapter 58: Anatomy of the Vagina and Vulva - p. 341 74. CONGENITAL - p. 351 75. Chapter 59: Vaginal Atresia - p. 351 76. Chapter 60: Imperforate Hymen - p. 355 77. Chapter 61: Vaginal Septa - p. 357 78. Chapter 62: Vulvar Slow-Flow Vascular Malformation - p. 361 79. BENIGN NEOPLASMS - p. 365 80. Chapter 63: Vaginal Leiomyoma - p. 365 81. Chapter 64: Aggressive Angiomyxoma - p. 371 82. MALIGNANT NEOPLASMS - p. 375 83. Chapter 65: Vaginal Carcinoma: Overview and Staging - p. 375 84. Chapter 66: Vaginal Leiomyosarcoma - p. 387 85. Chapter 67: Rhabdomyosarcoma of Female Genital Tract - p. 389 86. Chapter 68: Vaginal Yolk Sac Tumor - p. 395 87. Chapter 69: Bartholin Gland Carcinoma - p. 399 88. Chapter 70: Vulvar Carcinoma: Overview and Staging - p. 405 89. Chapter 71: Vulvar Leiomyosarcoma - p. 419 90. LOWER GENITAL CYSTS - p. 423 91. Chapter 72: Gartner Duct Cysts - p. 423 92. MISCELLANEOUS - p. 427 93. Chapter 73: Bartholin Cysts - p. 427 94. Chapter 74: Urethral Diverticulum - p. 433 95. Chapter 75: Skene Gland Cyst - p. 439 96. Chapter 76: Epidermal Inclusion (Epidermoid) Cyst - p. 443 97. Chapter 77: Vaginal Foreign Bodies - p. 447 98. Chapter 78: Vaginal Fistulas - p. 453 99. Chapter 79: Complications of Transmasculine Transgender Surgery - p. 459 100. SECTION 5: ADNEXA - p. 463 101. INTRODUCTION AND OVERVIEW - p. 463 102. Chapter 80: Anatomy of the Adnexa - p. 463 103. PHYSIOLOGIC AND AGE-RELATED OVARIAN CHANGES - p. 477 104. Chapter 81: Follicular Cyst - p. 477 105. Chapter 82: Corpus Luteum - p. 481 106. Chapter 83: Hemorrhagic Ovarian Cyst - p. 487 107. HORMONE-INDUCED OVARIAN CHANGES - p. 493 108. Chapter 84: Polycystic Ovary Syndrome - p. 493 109. Chapter 85: Hyperthecosis - p. 499 110. Chapter 86: Theca Lutein Cysts - p. 503 111. Chapter 87: Ovarian Hyperstimulation Syndrome - p. 507 112. INFLAMMATION/INFECTION - p. 511 113. Chapter 88: Pelvic Inflammatory Disease - p. 511 114. Chapter 89: Salpingitis Isthmica Nodosa - p. 523 115. Chapter 90: Hydrosalpinx - p. 527 116. Chapter 91: Hematosalpinx - p. 531 117. NEOPLASMS - p. 533 118. Chapter 92: Ovary, Fallopian Tube, and Primary Peritoneal Carcinoma: Overview and Staging - p. 533 119. EPITHELIAL - p. 553 120. Chapter 93: Serous Cystadenoma - p. 553 121. Chapter 94: Serous Carcinoma - p. 559 122. Chapter 95: Serous Surface Papillary Borderline Tumor Pattern - p. 565 123. Chapter 96: Endometrioid Carcinoma - p. 569 124. Chapter 97: Clear Cell Carcinoma - p. 575 125. Chapter 98: Seromucinous Tumors - p. 581 126. Chapter 99: Ovarian Carcinosarcoma - p. 587 127. Chapter 100: Mucinous Cystadenoma - p. 591 128. Chapter 101: Mucinous Carcinoma - p. 597 129. Chapter 102: Adenofibroma and Cystadenofibroma - p. 605 130. Chapter 103: Brenner Tumors - p. 611 131. Chapter 104: Management of Incidental Adnexal Cysts - p. 617 132. GERM CELL - p. 621 133. Chapter 105: Mature Cystic Teratoma - p. 621 134. Chapter 106: Somatic Tumors Arising From Mature Teratoma - p. 631 135. Chapter 107: Struma Ovarii - p. 635 136. Chapter 108: Ovarian Carcinoid - p. 641 137. Chapter 109: Dysgerminoma - p. 647 138. Chapter 110: Immature Teratoma - p. 653 139. Chapter 111: Ovarian Yolk Sac Tumor - p. 659 140. Chapter 112: Ovarian Choriocarcinoma - p. 663 141. Chapter 113: Mixed Germ Cell Tumor - p. 667 142. Chapter 114: Growing Teratoma Syndrome - p. 671 143. SEX CORD-STROMAL - p. 675 144. Chapter 115: Granulosa Cell Tumor - p. 675 145. Chapter 116: Fibroma, Thecoma, and Fibrothecoma - p. 681 146. Chapter 117: Sertoli Cell, Leydig Cell, and Sertoli-Leydig Cell Tumors - p. 689 147. Chapter 118: Sclerosing Stromal Tumor - p. 695 148. MISCELLANEOUS - p. 699 149. Chapter 119: Paratubal Cyst - p. 699 150. Chapter 120: Tubal Leiomyoma - p. 703 151. NONNEOPLASTIC ADNEXAL LESIONS - p. 707 152. Chapter 121: Endometrioma - p. 707 153. Chapter 122: Endometriosis - p. 717 154. Chapter 123: Endosalpingiosis - p. 727 155. Chapter 124: Peritoneal Inclusion Cysts - p. 731 156. VASCULAR - p. 737 157. Chapter 125: Ovarian Vein Thrombosis - p. 737 158. Chapter 126: Pelvic Venous Disorders - p. 741 159. ADNEXAL TORSION - p. 747 160. Chapter 127: Acute Adnexal Torsion - p. 747 161. Chapter 128: Isolated Fallopian Tube Torsion - p. 753 162. Chapter 129: Massive Ovarian Edema and Fibromatosis - p. 759 163. SECTION 6: MULTIORGAN DISORDERS - p. 765 164. INFLAMMATION/INFECTION - p. 765 165. Chapter 130: Genital Tuberculosis - p. 765 166. Chapter 131: Actinomycosis - p. 773 167. MALIGNANT NEOPLASMS - p. 777 168. Chapter 132: Genital Lymphoma - p. 777 169. Chapter 133: Uterine, Cervical, and Vaginal Metastases - p. 785 170. Chapter 134: Ovarian Metastases - p. 789 171. Chapter 135: Genital Melanoma - p. 797 172. Chapter 136: Paraganglioma - p. 805 173. Chapter 137: Merkel Cell Tumor - p. 809 174. ABNORMAL SEXUAL DEVELOPMENT - p. 811 175. Chapter 138: Disorders of Sexual Development - p. 811 176. Chapter 139: Complete Androgen Insensitivity Syndrome - p. 815 177. Chapter 140: Gonadal Dysgenesis - p. 817 178. SECTION 7: PELVIC FLOOR - p. 821 179. ANATOMY - p. 821 180. Chapter 141: Anatomy of the Pelvic Floor - p. 821 181. Chapter 142: Anatomy of the Bladder and Urethra - p. 835 182. Chapter 143: Anatomy of the Anal Sphincter Complex - p. 841 183. TECHNIQUE - p. 849 184. Chapter 144: MR of the Pelvic Floor - p. 849 185. Chapter 145: Ultrasound of the Pelvic Floor - p. 855 186. PATHOLOGY - p. 857 187. Chapter 146: Stress Urinary Incontinence - p. 857 188. Chapter 147: Paravaginal Defects and Resulting Pelvic Architectural Distortion - p. 861 189. Chapter 148: Pelvic Organ Prolapse and Perineal Descent - p. 863 190. Chapter 149: Fecal Incontinence - p. 871 191. Chapter 150: Obstructed Defecation - p. 877 192. INDEX - p. 883
Covering the entire spectrum of this fast-changing field, the fourth edition of Diagnostic Imaging: Gynecology is an invaluable resource for general radiologists, specialized radiologists, gynecologists, and trainees―anyone who requires an easily accessible, highly visual reference on today’s gynecologic imaging. Drs. Akram M. Shaaban, Douglas Rogers, and their team of highly regarded experts provide up-to-date information on recent advances in technology and the understanding of pathologic entities to help you make informed decisions at the point of care. The text is image-rich, with succinct bullets that quickly convey details, and includes the latest literature references, making it a useful learning tool as well as a handy reference for daily practice.
1. INTRODUCTION AND OVERVIEW - p. 35 2. Chapter 7: Anatomy of the Uterus - p. 35 3. AGE-RELATED CHANGES - p. 63 4. Chapter 8: Endometrial Atrophy - p. 63 5. CONGENITAL - p. 65 6. Chapter 9: Introduction to Müllerian Duct Anomalies - p. 65 7. Chapter 10: Arcuate Uterus - p. 69 8. Chapter 11: Septate Uterus - p. 71 9. Chapter 12: Bicornuate Uterus - p. 77 10. Chapter 13: Uterus Didelphys - p. 81 11. Chapter 14: Unicornuate Uterus - p. 87 12. Chapter 15: Müllerian Agenesis - p. 93 13. Chapter 16: DES Exposure - p. 99 14. Chapter 17: Accessory Cavitated Uterine Mass - p. 101 15. INFLAMMATION/INFECTION - p. 105 16. Chapter 18: Asherman Syndrome, Endometrial Synechiae - p. 105 17. Chapter 19: Endometritis - p. 109 18. Chapter 20: Superinfected Uterine Masses - p. 113 19. BENIGN NEOPLASMS - p. 117 20. ENDOMETRIUM - p. 117 21. Chapter 21: Endometrial Polyps - p. 117 22. Chapter 22: Endometrial Hyperplasia - p. 123 23. Chapter 23: Benign Biphasic Tumors - p. 127 24. MYOMETRIUM - p. 129 25. Chapter 24: Uterine Leiomyoma - p. 129 26. Chapter 25: Leiomyomas: Degeneration, Variants, and Complications - p. 135 27. Chapter 26: Benign Metastasizing Leiomyoma - p. 143 28. Chapter 27: Diffuse Leiomyomatosis - p. 145 29. Chapter 28: Intravenous Leiomyomatosis - p. 149 30. Chapter 29: Disseminated Peritoneal Leiomyomatosis - p. 155 31. Chapter 30: Lipomatous Uterine Tumors - p. 161 32. Chapter 31: Cotyledonoid Dissecting Leiomyoma - p. 165 33. MALIGNANT NEOPLASMS - p. 171 34. ENDOMETRIUM - p. 171 35. Chapter 32: Endometrial Carcinoma: Overview and Staging - p. 171 36. Chapter 33: Uterine Carcinosarcoma - p. 189 37. Chapter 34: Uterine Adenosarcoma - p. 193 38. Chapter 35: Endometrial Stromal Sarcoma - p. 197 39. Chapter 36: Gestational Trophoblastic Neoplasia: Overview and Staging - p. 203 40. MYOMETRIUM - p. 213 41. Chapter 37: Uterine Sarcoma: Overview and Staging - p. 213 42. Chapter 38: Uterine Leiomyosarcoma - p. 225 43. Chapter 39: Uterine Perivascular Epithelioid Cell Tumor (PEComa) - p. 231 44. VASCULAR - p. 235 45. Chapter 40: Uterine Arteriovenous Fistula and Malformation - p. 235 46. Chapter 41: Uterine Artery Embolization Imaging - p. 241 47. TREATMENT-RELATED CONDITIONS - p. 247 48. Chapter 42: Tamoxifen-Induced Changes - p. 247 49. Chapter 43: Contraceptive Device Evaluation - p. 253 50. Chapter 44: Post-Cesarean Section Appearance - p. 261 51. Chapter 45: Postablation Tubal Sterilization Syndrome (PATSS) - p. 265 52. ADENOMYOSIS - p. 269 53. Chapter 46: Adenomyosis - p. 269 54. Chapter 47: Focal Adenomyosis - p. 275 55. SECTION 3: CERVIX - p. 279 56. INTRODUCTION AND OVERVIEW - p. 279 57. Chapter 48: Anatomy of the Cervix - p. 279 58. BENIGN NEOPLASMS - p. 287 59. Chapter 49: Endocervical Polyp - p. 287 60. Chapter 50: Cervical Leiomyoma - p. 291 61. MALIGNANT NEOPLASMS - p. 297 62. Chapter 51: Cervical Carcinoma: Overview and Staging - p. 297 63. Chapter 52: Adenoma Malignum - p. 317 64. Chapter 53: Cervical Sarcoma - p. 323 65. TREATMENT-RELATED CONDITIONS - p. 327 66. Chapter 54: Posttrachelectomy Appearances - p. 327 67. MISCELLANEOUS - p. 329 68. Chapter 55: Cervical Glandular Hyperplasia - p. 329 69. Chapter 56: Nabothian Cysts - p. 333 70. Chapter 57: Cervical Stenosis - p. 337 71. SECTION 4: VAGINA AND VULVA - p. 341 72. INTRODUCTION AND OVERVIEW - p. 341 73. Chapter 58: Anatomy of the Vagina and Vulva - p. 341 74. CONGENITAL - p. 351 75. Chapter 59: Vaginal Atresia - p. 351 76. Chapter 60: Imperforate Hymen - p. 355 77. Chapter 61: Vaginal Septa - p. 357 78. Chapter 62: Vulvar Slow-Flow Vascular Malformation - p. 361 79. BENIGN NEOPLASMS - p. 365 80. Chapter 63: Vaginal Leiomyoma - p. 365 81. Chapter 64: Aggressive Angiomyxoma - p. 371 82. MALIGNANT NEOPLASMS - p. 375 83. Chapter 65: Vaginal Carcinoma: Overview and Staging - p. 375 84. Chapter 66: Vaginal Leiomyosarcoma - p. 387 85. Chapter 67: Rhabdomyosarcoma of Female Genital Tract - p. 389 86. Chapter 68: Vaginal Yolk Sac Tumor - p. 395 87. Chapter 69: Bartholin Gland Carcinoma - p. 399 88. Chapter 70: Vulvar Carcinoma: Overview and Staging - p. 405 89. Chapter 71: Vulvar Leiomyosarcoma - p. 419 90. LOWER GENITAL CYSTS - p. 423 91. Chapter 72: Gartner Duct Cysts - p. 423 92. MISCELLANEOUS - p. 427 93. Chapter 73: Bartholin Cysts - p. 427 94. Chapter 74: Urethral Diverticulum - p. 433 95. Chapter 75: Skene Gland Cyst - p. 439 96. Chapter 76: Epidermal Inclusion (Epidermoid) Cyst - p. 443 97. Chapter 77: Vaginal Foreign Bodies - p. 447 98. Chapter 78: Vaginal Fistulas - p. 453 99. Chapter 79: Complications of Transmasculine Transgender Surgery - p. 459 100. SECTION 5: ADNEXA - p. 463 101. INTRODUCTION AND OVERVIEW - p. 463 102. Chapter 80: Anatomy of the Adnexa - p. 463 103. PHYSIOLOGIC AND AGE-RELATED OVARIAN CHANGES - p. 477 104. Chapter 81: Follicular Cyst - p. 477 105. Chapter 82: Corpus Luteum - p. 481 106. Chapter 83: Hemorrhagic Ovarian Cyst - p. 487 107. HORMONE-INDUCED OVARIAN CHANGES - p. 493 108. Chapter 84: Polycystic Ovary Syndrome - p. 493 109. Chapter 85: Hyperthecosis - p. 499 110. Chapter 86: Theca Lutein Cysts - p. 503 111. Chapter 87: Ovarian Hyperstimulation Syndrome - p. 507 112. INFLAMMATION/INFECTION - p. 511 113. Chapter 88: Pelvic Inflammatory Disease - p. 511 114. Chapter 89: Salpingitis Isthmica Nodosa - p. 523 115. Chapter 90: Hydrosalpinx - p. 527 116. Chapter 91: Hematosalpinx - p. 531 117. NEOPLASMS - p. 533 118. Chapter 92: Ovary, Fallopian Tube, and Primary Peritoneal Carcinoma: Overview and Staging - p. 533 119. EPITHELIAL - p. 553 120. Chapter 93: Serous Cystadenoma - p. 553 121. Chapter 94: Serous Carcinoma - p. 559 122. Chapter 95: Serous Surface Papillary Borderline Tumor Pattern - p. 565 123. Chapter 96: Endometrioid Carcinoma - p. 569 124. Chapter 97: Clear Cell Carcinoma - p. 575 125. Chapter 98: Seromucinous Tumors - p. 581 126. Chapter 99: Ovarian Carcinosarcoma - p. 587 127. Chapter 100: Mucinous Cystadenoma - p. 591 128. Chapter 101: Mucinous Carcinoma - p. 597 129. Chapter 102: Adenofibroma and Cystadenofibroma - p. 605 130. Chapter 103: Brenner Tumors - p. 611 131. Chapter 104: Management of Incidental Adnexal Cysts - p. 617 132. GERM CELL - p. 621 133. Chapter 105: Mature Cystic Teratoma - p. 621 134. Chapter 106: Somatic Tumors Arising From Mature Teratoma - p. 631 135. Chapter 107: Struma Ovarii - p. 635 136. Chapter 108: Ovarian Carcinoid - p. 641 137. Chapter 109: Dysgerminoma - p. 647 138. Chapter 110: Immature Teratoma - p. 653 139. Chapter 111: Ovarian Yolk Sac Tumor - p. 659 140. Chapter 112: Ovarian Choriocarcinoma - p. 663 141. Chapter 113: Mixed Germ Cell Tumor - p. 667 142. Chapter 114: Growing Teratoma Syndrome - p. 671 143. SEX CORD-STROMAL - p. 675 144. Chapter 115: Granulosa Cell Tumor - p. 675 145. Chapter 116: Fibroma, Thecoma, and Fibrothecoma - p. 681 146. Chapter 117: Sertoli Cell, Leydig Cell, and Sertoli-Leydig Cell Tumors - p. 689 147. Chapter 118: Sclerosing Stromal Tumor - p. 695 148. MISCELLANEOUS - p. 699 149. Chapter 119: Paratubal Cyst - p. 699 150. Chapter 120: Tubal Leiomyoma - p. 703 151. NONNEOPLASTIC ADNEXAL LESIONS - p. 707 152. Chapter 121: Endometrioma - p. 707 153. Chapter 122: Endometriosis - p. 717 154. Chapter 123: Endosalpingiosis - p. 727 155. Chapter 124: Peritoneal Inclusion Cysts - p. 731 156. VASCULAR - p. 737 157. Chapter 125: Ovarian Vein Thrombosis - p. 737 158. Chapter 126: Pelvic Venous Disorders - p. 741 159. ADNEXAL TORSION - p. 747 160. Chapter 127: Acute Adnexal Torsion - p. 747 161. Chapter 128: Isolated Fallopian Tube Torsion - p. 753 162. Chapter 129: Massive Ovarian Edema and Fibromatosis - p. 759 163. SECTION 6: MULTIORGAN DISORDERS - p. 765 164. INFLAMMATION/INFECTION - p. 765 165. Chapter 130: Genital Tuberculosis - p. 765 166. Chapter 131: Actinomycosis - p. 773 167. MALIGNANT NEOPLASMS - p. 777 168. Chapter 132: Genital Lymphoma - p. 777 169. Chapter 133: Uterine, Cervical, and Vaginal Metastases - p. 785 170. Chapter 134: Ovarian Metastases - p. 789 171. Chapter 135: Genital Melanoma - p. 797 172. Chapter 136: Paraganglioma - p. 805 173. Chapter 137: Merkel Cell Tumor - p. 809 174. ABNORMAL SEXUAL DEVELOPMENT - p. 811 175. Chapter 138: Disorders of Sexual Development - p. 811 176. Chapter 139: Complete Androgen Insensitivity Syndrome - p. 815 177. Chapter 140: Gonadal Dysgenesis - p. 817 178. SECTION 7: PELVIC FLOOR - p. 821 179. ANATOMY - p. 821 180. Chapter 141: Anatomy of the Pelvic Floor - p. 821 181. Chapter 142: Anatomy of the Bladder and Urethra - p. 835 182. Chapter 143: Anatomy of the Anal Sphincter Complex - p. 841 183. TECHNIQUE - p. 849 184. Chapter 144: MR of the Pelvic Floor - p. 849 185. Chapter 145: Ultrasound of the Pelvic Floor - p. 855 186. PATHOLOGY - p. 857 187. Chapter 146: Stress Urinary Incontinence - p. 857 188. Chapter 147: Paravaginal Defects and Resulting Pelvic Architectural Distortion - p. 861 189. Chapter 148: Pelvic Organ Prolapse and Perineal Descent - p. 863 190. Chapter 149: Fecal Incontinence - p. 871 191. Chapter 150: Obstructed Defecation - p. 877 192. INDEX - p. 883