The aetiology of combined urinary and faecal incontinence (UFI) are interrelated and remain poorly understood; affecting appropriate patient selection, thus accounting for sub-optimal surgical outcome. A potential variable in this process is Global pelvic floor dysfunction (GPFD). The aim of this study was to prospectively assess whether use of phased array body coil MRI could identify global pelvic floor dysfunction in these patients with multisystem dysfunctional symptoms. Symptomatic participants were selected from patients presenting with complaints of combined urinary and faecal incontinence either in the colorectal or urology outpatient clinics. Patients who have had previous pelvic floor surgery were excluded from this study. All underwent standard urodynamics and anorectal physiology assessment. Voiding cystometry, colonoscopy and endoanal ultrasound were also performed. A standardised protocol was used for the MRI imaging. Thirty individual parameters were measured using built-in-software (callipers, compass and densitometer). Statistical analysis was performed using SPSS software Nineteen consecutive patients were assessed. Patients were age, sex and parity matched with asymptomatic controls (n=11). The MRI procedure was tolerated well by all the participants. Results are shown in the table. Body coil MRI is a non-invasive, well-tolerated imaging modality. The novel use of MRI in these patients has demonstrated for the first time distinct anatomical features evident in the levator plate, Urethrovesical angle and anal sphincter complex in patients with GFPD. Our data suggests that body coil dynamic MRI may have a potential role in identifying patients with global perineal muscle dysfunction, thus facilitating definitive surgical management.