Clinique Pasteur Tunis
Pelvic MRI (uterus, ovaries, rectum)
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Pelvic MRI (uterus, ovaries, rectum)

Pelvic MRI in Tunis, Tunisia · Centre Urbain Nord

Pelvic MRI in Tunis: examines the uterus, ovaries, bladder and rectum (fibroids, endometriosis, cysts, assessment of certain cancers).

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What is it?

A pelvic MRI examines the organs of the lower pelvis: in women, the uterus and ovaries; in everyone, the bladder, rectum and surrounding tissues. (The prostate has its own specific MRI.) After ultrasound, it is the test of choice for studying a fibroid, endometriosis, an ovarian cyst that is difficult to characterise, a malformation of the uterus, or for assessing certain cancers (cervix or body of the uterus, rectum). It can be extended to the abdomen (abdominopelvic MRI). An injection of contrast agent (gadolinium) is common. For sharper images, you are often asked to fast for a few hours and to have a half-full bladder, and a medicine that calms bowel movements may be injected. A gel may sometimes be placed in the vagina or rectum to see certain walls better.

When is it indicated?

Uterine fibroids

It counts and locates fibroids to help choose between monitoring, medicines, surgery or embolisation.

Endometriosis

It looks for endometriosis lesions in the pelvis and their extent, before a treatment decision.

Ovarian cyst or mass

It clarifies the nature of a mass that is poorly characterised on ultrasound.

Assessment of cervical, uterine or rectal cancer

It measures the local extent of the tumour, which guides treatment.

Chronic pelvic pain, infertility

It looks for a cause in the uterus, ovaries or nearby tissues.

Preparation

1Remove jewellery, watch, piercings, hair clips, bank cards and any metal object before entering the scanner room
2Tell us in advance about any pacemaker or defibrillator, implant (cochlear implant, neurostimulator, pump), surgical clip, heart valve, prosthesis or metal fragment: some are MRI-compatible, others are not
3Fast for about 3 to 4 hours and pass urine about one hour before the examination (half-full bladder), unless told otherwise
4Give the date of your last period and tell us if you have an IUD (coil)
5Tell us if you are pregnant or think you might be
6Let us know if you are afraid of enclosed spaces (claustrophobia): the team will support you and your doctor can prescribe a mild sedative
7If an injection is planned, tell us about any kidney disease, allergy or past reaction to a contrast agent; a recent blood test (creatinine) may be requested
8Bring your ultrasounds and previous tests

Procedure

1

You change in a cubicle and put your metal objects in a locker

2

A drip is placed in your arm if an injection is planned; a medicine to calm bowel movements may be injected

3

For certain indications, a gel is placed in the vagina or rectum with a small tube, with your consent

4

You lie on your back, with a coil placed on your lower abdomen

5

The scanner makes loud, repetitive noises while the images are being taken: headphones or earplugs are provided

6

You need to keep still during each series of images so that they are sharp

7

You stay in contact with the team through a microphone and a call bell that you hold in your hand

Duration

About 30 to 45 minutes

Results

The images are analysed by a radiologist, who writes a report. The report is given to you with the images and sent to your doctor, who will explain the results and the next steps. You will be told when to expect it on the day of the examination.

Precautions and contraindications

No X-rays: MRI does not use ionising radiation
Not possible with a pacemaker, defibrillator or implant that is not MRI-compatible, or with a metal foreign body in the eye
The medicine used to calm bowel movements may blur your vision or dry your mouth for a short time: avoid driving until your vision is back to normal
Allergic reaction to gadolinium: rare, and usually mild (redness, itching)
In case of severe kidney failure, the gadolinium injection is avoided or adjusted by the doctor
During pregnancy, MRI is only performed if it is really useful, and usually without an injection
You may feel enclosed inside the tunnel; the examination can be stopped at any time

Your doctor and the radiology team will inform you in detail before the examination. Feel free to ask them your questions.

This information is general and does not replace the advice of your doctor, who chooses the examination suited to your situation.

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Radiology centre direct line+216 36 402 036Clinic switchboard+216 36 402 000

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