The prevalence of abnormal posterior compartment anatomy and its association with obstructed defecation symptoms in urogynecological patients

Rojas, Rodrigo Guzmán; Atan, Ixora Kamisan; Shek, Ka Lai; Dietz, Hans Peter

doi:10.1007/s00192-015-2914-3

Cited by 52 publications

(27 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Guzman Rojas et al have used TLUS to detect anatomic abnormalities in patients of pelvic floor dysfunction (both POP and SUI) and found that more than half of the subjects are diagnosed with true rectocele 19 . The prevalence rate of true rectocele was significantly different from that in our study.…”

Section: Discussionmentioning

confidence: 99%

The relationship between obstructed defecation and true rectocele in patients with pelvic organ prolapse

Tan

Geng

Tang

et al. 2020

Sci Rep

View full text Add to dashboard Cite

We aimed to investigate the prevalence of true rectocele and obstructed defecation (oD) in patients with pelvic organ prolapse (POP), to investigate the correlation between true rectocele and OD, and to understand the diagnostic value of translabial ultrasound (tLUS) in the diagnosis of true rectocele. the patients who scheduled for pop surgery were enrolled in this study. patients who had previous reconstructive pelvic surgery or repair of rectocele were excluded. Birmingham Bowel and Urinary symptoms questionnaires and Longo's obstructed defecation syndrome scoring system were used to assess the bowel symptoms of patients. tLUS was used to evaluate anatomical defects. p value <0.05 was considered statistically significant, and confidence intervals were set at 95%. 279 patients were included into this study. The prevalence rate of OD was 43%, and the average value of ODS score was 6.67. 17% patients presented straining at stool, 33% presented incomplete emptying, 13% presented digitations, and 12% required laxatives or enema. The prevalence rate of true rectocele was 23%. Defecation symptoms were significantly correlated with age, levator-ani hiatus, levator-ani muscle injury and true rectocele. Logistic regression showed that true rectocele and increased levator-ani hiatus were independent risk factors of OD. True rectocele was significantly correlated with straining at stool, digitation, incomplete emptying and requirement of laxatives or enema.In POP patients, the prevalence rate of true rectocele and OD was 23% and 43%, respectively. True rectocele was related to oD. tLUS was a valuable approach in anatomical evaluation of pop. Pelvic organ prolapse (POP) is a type of disease caused by the defect of pelvic floor supporting structure, which leads the pelvic organ to leave its own anatomical position. Constipation is a common symptom in POP patients 1. Previous study has shown that 50% of people with chronic constipation have symptoms of obstructed defecation (OD). OD is characterized by straining at stool, incomplete emptying, digitation (finger extrusion in perineum or vagina to assist defecation) and the requirement of laxatives or enema 2. Therefore, there should be certain prevalence rate of OD in POP patients. Regarding the relationship between anatomical defects of POP and obstructed constipation, recent studies have suggested that OD is significantly correlated with posterior pelvic anatomic abnormalities, such as true rectocele, enteric hernia and intussusceptions 3. Some scholars think that posterior vaginal prolapse (PVP) indicates rectocele, while a recent study has shown that true rectocele is only observed in 39% women 4. The prevalence of true rectocele and its effect on POP patients remain largely unexplored. Although video-defecography is considered to be the "gold standard" for the diagnosis of rectocele, a number of previous studies have confirmed that translabial ultrasound (TLUS) has good consistency and is in good agreement with video-defecography 5-8. In the present study, we selected TL...

show abstract

Section: Discussionmentioning

confidence: 99%

The relationship between obstructed defecation and true rectocele in patients with pelvic organ prolapse

Tan

Geng

Tang

et al. 2020

Sci Rep

View full text Add to dashboard Cite

show abstract

“…Rectocele depth was measured perpendicular to the line drawn parallel to the anterior border of the anal canal, which is the expected contour of the rectal wall (Figure a,b). An enterocele was present if small bowel loops extended below the posteroinferior border of the pubic symphysis on Valsalva (Figure c,d). An intussusception was present if a full‐thickness circumferential invagination of the rectum was visualized on maximum Valsalva (Figure e,f).…”

Section: Methodsmentioning

confidence: 99%

Does 4D transperineal ultrasound have additional value over 2D transperineal ultrasound for diagnosing posterior pelvic floor disorders in women with obstructed defecation syndrome?

Gruting

Kluivers

Sultan

et al. 2018

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

show abstract

“…Symptoms of obstructive defecation, i.e. straining at stool, incomplete bowel emptying and perineal, vaginal or anal digitation, have been shown to be associated with posterior compartment prolapse, in particular rectocele and rectal intussusception. Rectocele may also contribute to fecal incontinence although this condition is clearly multifactorial.…”

Section: Fpop: An Abnormality Of Pelvic Floor Functional Anatomymentioning

confidence: 99%

Assessment of pelvic organ prolapse: a review

Shek

Dietz

2016

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

Female Pelvic organ prolapse (FPOP) is a highly prevalent condition. Its incidence is likely to increase further because of aging populations. There is a need to understand treatment and prevention better, and proper diagnosis is the first step towards these ends. Most importantly, we need to define what is 'normal' and 'abnormal'. In this review article we will focus on the clinical and ultrasound assessment of FPOP. Current data suggest pelvic floor injury is important in the pathogenesis of FPOP and as a risk factor for prolapse recurrence after surgery. It has become evident that pelvic floor assessment should be included in the management of women with FPOP. We will discuss the limits of normality for pelvic organ descent, both on translabial/ transperineal ultrasound and on clinical examination, and place special emphasis on measures to avoid false negative findings on FPOP assessment.

show abstract

The prevalence of abnormal posterior compartment anatomy and its association with obstructed defecation symptoms in urogynecological patients

Abstract: Both symptoms of OD and anatomical abnormalities of the posterior compartment are highly prevalent in urogynecological patients. Ultrasound findings of a true rectocele and rectal intussusception are significantly associated with obstructed defecation.

Cited by 52 publications

References 27 publications

The relationship between obstructed defecation and true rectocele in patients with pelvic organ prolapse

The relationship between obstructed defecation and true rectocele in patients with pelvic organ prolapse

Does 4D transperineal ultrasound have additional value over 2D transperineal ultrasound for diagnosing posterior pelvic floor disorders in women with obstructed defecation syndrome?

Assessment of pelvic organ prolapse: a review

Contact Info

Product

Resources

About