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What is Defecography MRI?

Defecography MRI, also known as dynamic pelvic MRI or magnetic resonance defecography, is a diagnostic imaging test used to assess the function of the pelvic floor muscles and the anorectal region during defecation. It combines magnetic resonance imaging (MRI) technology with real-time video to visualize the movement and positioning of the rectum and surrounding structures as a person attempts to have a bowel movement. This test is typically used to diagnose conditions like pelvic floor dysfunction, rectal prolapse, and other defecation disorders. Unlike traditional X-ray imaging, Defecography MRI provides detailed soft tissue imaging without the need for radiation, making it an important tool in diagnosing complex gastrointestinal and pelvic issues.

Who can take the Defecography MRI?

Defecography MRI is generally recommended for individuals who experience chronic issues with bowel movements, such as constipation, difficulty passing stool, or the feeling of incomplete evacuation. It is often used to assess patients who have pelvic floor dysfunction, rectal prolapse, or other defecation-related conditions. The test is typically advised when a patient’s symptoms persist despite other treatments or when the doctor suspects an anatomical or functional problem with the pelvic floor muscles or the rectum. The test is suitable for both men and women, though it is more commonly performed in women due to the higher incidence of pelvic floor disorders. Pregnant women are generally not eligible for this test due to the MRI’s magnetic field, and patients with metal implants may also need to avoid it depending on the nature of the implant.

When Can the Defecography MRI Be Performed?

The Defecography MRI is typically performed when a patient presents with symptoms such as chronic constipation, difficulty evacuating the bowel, or the sensation of incomplete bowel emptying. It is also used to evaluate conditions like rectal prolapse, where part of the rectum protrudes from the anus, or other pelvic floor dysfunctions that might interfere with normal bowel movements. This test is often recommended when a physical exam and other diagnostic tests, such as a colonoscopy or X-ray, do not provide sufficient information. Defecography MRI is used to assess the dynamic nature of the defecation process, and it may be conducted after other diagnostic methods have been exhausted or when the physician suspects that the pelvic muscles or rectal anatomy are contributing to the patient’s symptoms.

Procedure and Duration

During a Defecography MRI, the patient will be asked to change into a hospital gown and lie on an MRI table. A contrast material, typically a gel or a barium-based substance, is introduced into the rectum to enhance imaging and allow the MRI to visualize the rectum and surrounding structures clearly. The test is conducted in stages: first, an MRI scan is taken while the patient is at rest, and then additional images are captured while the patient attempts to defecate or simulate defecation. The test may also include other maneuvers to assess the function and movement of the pelvic floor muscles. The entire procedure usually lasts between 30 to 60 minutes. While it is non-invasive, patients may feel some discomfort from the insertion of the contrast material, but the test is generally well-tolerated and does not involve any significant pain.

Related Conditions or Illnesses

Defecography MRI is primarily used to diagnose conditions related to pelvic floor dysfunction and other disorders that affect the ability to defecate properly. Common conditions assessed by this test include rectal prolapse, where part of the rectum slips out of its normal position, and functional constipation, where patients experience difficulty in bowel movements despite having no apparent physical blockage. It is also used to evaluate the causes of fecal incontinence, a condition where an individual is unable to control bowel movements. Other conditions that may be assessed with this test include pelvic organ prolapse, Hirschsprung's disease, and anorectal malformations. By providing detailed, real-time images of the rectum and pelvic muscles, Defecography MRI helps doctors diagnose complex pelvic floor issues that might not be visible through other imaging methods.

Risks

Defecography MRI is generally a safe procedure with few risks, especially when compared to more invasive diagnostic tests. One of the main risks is the possibility of mild discomfort or a sensation of fullness during the insertion of the contrast material. In rare cases, patients may experience an allergic reaction to the contrast material, though this is uncommon. Since the test uses MRI technology, patients with metal implants, pacemakers, or certain types of prosthetics may not be eligible for this test, as the magnetic field could interfere with these devices. Pregnant women are usually advised to avoid MRI tests due to the potential risks to the developing fetus, especially in the first trimester. Before undergoing the test, patients should inform their healthcare provider of any medical conditions or implants that might make the MRI procedure unsafe.

Preparations

There are some preparatory steps that patients need to follow before undergoing a Defecography MRI. The patient will typically be asked to avoid eating or drinking for several hours before the test, especially if they will be receiving a contrast material. It is important to follow the healthcare provider’s specific instructions regarding fasting and medication use before the test. In some cases, a mild laxative may be recommended prior to the test to ensure the colon is clear. Patients should also inform their healthcare provider of any allergies, especially to contrast materials, as this may affect the choice of substance used during the test. During the procedure, patients should wear loose, comfortable clothing and be prepared to lie on their back on the MRI table during the imaging process.

Other Similar Tests

There are a few other tests that may be used to diagnose similar conditions to those assessed by Defecography MRI. One such test is the traditional X-ray imaging technique known as an evacuation proctogram, which also assesses the function of the pelvic floor and rectum during defecation. However, unlike Defecography MRI, evacuation proctograms use X-rays and may involve radiation exposure. Another similar test is anorectal manometry, which measures the pressure in the rectum and the functioning of the anal sphincter muscles. This test is often used to diagnose fecal incontinence and other defecation disorders. Though similar, these tests do not provide the same level of detailed imaging as Defecography MRI, which offers a dynamic and comprehensive view of the pelvic floor muscles in real-time.

Book Defecography MRI Using LabFinder

If you need to book a Defecography MRI, LabFinder makes it easy to find participating labs and imaging centers near you. These labs and imaging centers can perform the test and accept insurance, making the process more convenient. So, if you're looking for a “Defecography MRI near me,” “pelvic MRI near me,” or “MRI defecography near me,” you’ve come to the right place. LabFinder allows you to quickly book your test online, ensuring that you can get the care you need without unnecessary delays.

Conclusion

Defecography MRI is an invaluable diagnostic tool for evaluating complex pelvic floor disorders and other conditions related to defecation. This non-invasive test provides detailed, real-time images of the rectum and surrounding muscles, helping doctors diagnose issues that affect bowel function. By using LabFinder, you can easily book your Defecography MRI at a participating lab or imaging center near you. With LabFinder’s online booking platform, scheduling your test has never been more convenient, ensuring that you get the accurate diagnosis and treatment you need for a healthier life.


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Medically Reviewed by Dr. Robert Segal, MD, FACC

Reviewed by: Dr. Robert Segal, MD, FACC

Board-Certified Physician

Last Updated: November 20, 2025

The information on this page and throughout the LabFinder website and mobile app is for general informational purposes only. It is not intended to serve as medical advice, diagnosis, or treatment. For personalized medical advice or specific health concerns, please consult your healthcare provider directly.

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Frequently Asked Questions

  • Can I book a Defecography MRI near me?

    Booking a Defecography MRI is easy using LabFinder. Just choose your location and enter your insurance information to find the closest Defecography MRI near you.

  • How can I make a same-day appointment for a Defecography MRI?

    To make a same-day appointment for a Defecography MRI, just choose your location and your insurance information to find the closest Defecography MRI location near you. If there's availability for a same-day appointment at a nearby lab location, then you will be able to book it easily through LabFinder.

  • Where can I schedule a Defecography MRI?

    LabFinder allows you to easily schedule a Defecography MRI. You can search by location and insurance to easily book a Defecography MRI near you.

  • Can I make an appointment for Defecography MRI online?

    LabFinder allows you to easily make an appointment for a Defecography MRI online. To make an appointment for a Defecography MRI online, just choose your location and your insurance information to find the closest Defecography MRI near you.

  • Can I get a Defecography MRI without insurance?

    Yes, you can get a Defecography MRI without insurance. LabFinder allows you to search and select "Self-Pay" when booking a Defecography MRI. While pricing for the test may not be immediately available, please check by calling the lab company directly for pricing.

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