Gynecological influencing factors on the rectovaginal septum’s morphology

Rodríguez-Abarca, Maria Alejandra; Hernández-Grimaldo, Edgar Guillermo; Fuente-Villarreal, David de la; Jacobo‐Baca, Guillermo; Quiroga‐Garza, Alejandro; Pinales-Razo, Ricardo; Elizondo‐Omaña, Rodrigo Enrique; Guzmán-López, Santos

doi:10.1007/s00192-020-04376-4

Cited by 3 publications

(13 citation statements)

References 22 publications

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“…Measures were taken in the midline and at the lateral aspect of the RVF, and at the level of the middle and lower third of the vagina. For both levels, their thickness values for the lateral part of the RVF were slightly greater than those of Rodriguez, et al [78] (middle third: 2.67 ± 1.08 mm; inferior third: 2.64 ± 0.12 mm). Stecco, et al [12] also observed that the RVF was thicker in its lateral aspect as opposed to its midline (middle third: 1.75 ± 0.75 mm; inferior third: 1.70 ± 0.88).…”

Section: Rectovaginal Fascia (Rvf)contrasting

confidence: 67%

“…Some authors also characterized the lateral expansions of the PB more specifically in relation to muscle insertions [ 58 , 65 , 77 ]. All dissection and histological studies reported that the PB was the site of insertion of several pelvic floor muscles [ 58 , 65 , 67 , 77 , 78 ]. With the use of MRI, Larson, et al [ 68 ] were able to visualize the PB and precisely identify the individual muscle insertions.…”

Section: Resultsmentioning

confidence: 99%

“…This imaging approach not only enabled the length of the PB to be assessed but also the width (mean width: 1.33 cm (SD 0.12)) and thickness (mean thickness: 0.76 (SD 0.05)) [ 73 ]. All histological studies [ 65 , 67 , 78 ] detected the presence of smooth muscle fibers and blood vessels in the PB. Kochová, et al [ 76 ] and Kato, et al [ 65 ] found that the PB also contained skeletal muscle fibers, collagen fibers, elastin fibers, adipose tissue, and peripheral nerves.…”

Section: Resultsmentioning

confidence: 99%

“…The age range across studies was 15–104 years. Nine studies [ 12 , 16 , 20 , 21 , 36 , 60 , 74 , 79 , 80 ] used a dissection approach, four studies [ 12 , 20 , 21 , 74 ] used a histological approach, and one study [ 78 ] employed MRI. The RVF was described as fibrous tissue located between the rectum and the vagina.…”

Section: Resultsmentioning

confidence: 99%

“…Some authors observed that it fuses to the fascia of the LAM [ 12 , 20 , 21 , 77 , 80 ]. Two studies [ 20 , 78 ] reported the mean length of the RVF. Using MRI, Rodriguez, et al [ 78 ] measured a mean length of 73.2 mm (SD 15.3) from the posterior fornix and the end of the recto-uterine pouch (also called the pouch of Douglas) to the PB.…”

Section: Resultsmentioning

confidence: 99%

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The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review

Roch

Gaudreault

Cyr

et al. 2021

Life

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The female pelvis is a complex anatomical region comprising the pelvic organs, muscles, neurovascular supplies, and fasciae. The anatomy of the pelvic floor and its fascial components are currently poorly described and misunderstood. This systematic search and review aimed to explore and summarize the current state of knowledge on the fascial anatomy of the pelvic floor in women. Methods: A systematic search was performed using Medline and Scopus databases. A synthesis of the findings with a critical appraisal was subsequently carried out. The risk of bias was assessed with the Anatomical Quality Assurance Tool. Results: A total of 39 articles, involving 1192 women, were included in the review. Although the perineal membrane, tendinous arch of pelvic fascia, pubourethral ligaments, rectovaginal fascia, and perineal body were the most frequently described structures, uncertainties were identified in micro- and macro-anatomy. The risk of bias was scored as low in 16 studies (41%), unclear in 3 studies (8%), and high in 20 studies (51%). Conclusions: This review provides the best available evidence on the female anatomy of the pelvic floor fasciae. Future studies should be conducted to clarify the discrepancies highlighted and accurately describe the pelvic floor fasciae.

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Section: Rectovaginal Fascia (Rvf)contrasting

confidence: 67%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review

Roch

Gaudreault

Cyr

et al. 2021

Life

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Clinical Assessment Limitation in Extragastrointestinal Stromal Tumour of Rectovaginal Septum Diagnosis: A Case Report

Mohamad¹,

Nagandl²,

Kampan³

et al. 2022

MJMHS

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Extragastrointestinal tumour of rectovaginal septum (rvGIST) is a rare malignancy that affects rectovaginal septum. We present a case of rvGIST that was initially managed as cervical eGIST based on clinical assessment. A 66-year-old woman presented with postmenopausal bleeding and constipation. Bimanual pelvic examination revealed an irregular mass occupying the vagina. CT thorax, abdomen and pelvis showed a 9.2 x 10.0 x 14.0 cm pelvic mass arising from cervix, extending superiorly to involve the uterus. The patient proceeded to undergo total abdominal hysterectomy, bilateral salpingo-oophorectomy, enucleation of rectovaginal septum mass, rectosigmoidectomy and permanent colostomy. Intraoperatively, there was a 9 x 7 cm mass arising from rectovaginal septum. Histopathological examination of surgical specimen revealed spindle cell tumour diffusely positive for CD34, CD117 and DOG1. The final diagnosis was rvGIST. In conclusion, the diagnosis of rvGIST require a combination of clinical assessment with intraoperative finding and histological assessment of the surgical specimen.

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Functional Anatomy of Female Perineum

Chughtai¹,

Kashif²,

Aijaz³

et al. 2024

The Female Pelvis - Anatomy, Function and Disorders

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Female perineum is the tissue complex between the peritoneum and the skin that closes the pelvis inferiorly and its functionality depends on the interplay between organs, tissues, septae and spaces in it. It is a diamond-shaped region below the pelvic floor and extends between the pelvic diaphragm and the perineal skin. It is a surprisingly dynamic field with new insights, discoveries, and controversies and carries differences in viewpoint among anatomists and surgeons. This book chapter will provide an overview regarding perineal anatomy in the female and will focus on embryology, anatomy of the perineal region with modern proponents. It includes detailed anatomy of Urogenital and Anal triangles, their muscles with blood supply and innervation, anatomy and functions of the perineum, its role in Pelvic Organ Prolapse and clinical significance in urinary and fecal incontinence and contribution towards common obstetric and gynecological pathologies.

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Gynecological influencing factors on the rectovaginal septum’s morphology

Cited by 3 publications

References 22 publications

The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review

The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review

Clinical Assessment Limitation in Extragastrointestinal Stromal Tumour of Rectovaginal Septum Diagnosis: A Case Report

Functional Anatomy of Female Perineum

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