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Fig. 3. —74-year-old woman with difficulty emptying rectum and stress urinary incontinence.

A, Sagittal true fast imaging in steady-state free precession image obtained during proctographic phase of dynamic MR imaging. Image shows open anal canal (white arrow) indicating that rectal evacuation is occurring. Rectocele (r) size is measured as maximal anterior extension (arrowed line) perpendicular to line extending upward from anterior margin of anal canal (black line).