Advances in MRI assessment of pelvic floor structure and function: a review

•. Advances in pelvic MRI techniques are enabling better appreciation of the complexity of pelvic floor disorders.•. Static and dynamic imaging is useful to depict the range of pelvic floor pathology.•. Clinical demand for comprehensive MRI is increasing because of its non-invasive dynamic nature that is able to provide anatomical and functional information relevant to urogynaecologists and surgeons.•. Imaging findings still need to be carefully correlated to the clinical scenario and physiology.MRI is now an established technique for the evaluation of pelvic floor structure and function. As a non-ionising modality it allows a large field of view for the dynamic evaluation of all pelvic organs in multiple planes with high soft-tissue and temporal resolution. Both static and dynamic protocols may be followed including the use of proctography. Difficulties with evacuation and prolapse can be accurately depicted and aid guide physicians, urogynaecologists and surgeons in management. A thorough understanding ...