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Fig. 4B —Midsagittal contrast agent-enhanced T1-weighted spoiled gradient-recalled echo MR images (TR/TE, 22.4/10.7) obtained in 61-year-old woman after hysterectomy in sitting position at end of defecation. Small bladder descent (1), which measured 17 mm on A and 14 mm on B, and moderate enterocele (2), which measured 51 mm on A and 54 mm on B, could be clearly identified and measured with regard to pubococcygeal line (PCL) on both images. B = bladder, E = enterocele. When ultrasound gel is used, intussusception contours (white arrows) are less clearly delineated and anterior rectocele (black arrow) is smaller (40 mm) than when potato starch is used (A).