Correlation between posterior vaginal wall defects assessed by clinical examination and by defecography

Groenendijk, Annette G.; Hulst, Victor P. van der; Birnie, Erwin; Bonsel, Gouke J.

doi:10.1007/s00192-008-0632-9

Cited by 13 publications

(8 citation statements)

References 28 publications

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“…Finally, one may question whether POP-Q scores are the best representation of abnormalities of the rectovaginal wall [7, 30] since imaging techniques (defecography, MRI) can reveal anatomical abnormalities of the posterior compartment that are not represented by abnormal POP-Q scores [31]. …”

Section: Discussionmentioning

confidence: 99%

Contribution of Primary Pelvic Organ Prolapse to Micturition and Defecation Symptoms

Groenendijk

Birnie²,

Roovers

et al. 2012

Obstetrics and Gynecology International

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Objective. To investigate the contribution of Pelvic Organ Prolapse (POP) to micturition and defecation symptoms. Method. Cross-sectional study including 64 women presenting with POP symptoms and 50 controls without POP complaints. Subjects were evaluated using POP-Quantification system, Urinary Distress Inventory, and Defecation Distress Inventory. The MOS SF-36 health survey and the Center for Epidemiological Studies Depression scale were used to measure self-perceived health status and depressive symptoms, respectively. Results. POP in terms of POP-Q had a moderate impact on the symptom observing vaginal protrusion (explained variance 0.31). It contributed modestly to obstructive voiding and overactive bladder symptoms (explained variance 0.09, resp., 0.14) but not to urinary incontinence. Constipation was more likely explained by clinical depression than by pelvic floor defects (explained variance 0.13, resp., 0.05). Conclusion. Stage of POP and specific prolapse symptoms are associated but such a strong association does not exist between POP and micturition or defecation symptoms.

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Section: Discussionmentioning

confidence: 99%

Contribution of Primary Pelvic Organ Prolapse to Micturition and Defecation Symptoms

Groenendijk

Birnie²,

Roovers

et al. 2012

Obstetrics and Gynecology International

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“…It is often used in women with posterior compartment prolapse and evacuation dysfunction. Groenendijk et al determined that defecography has a diagnostic accuracy of 42% for the posterior compartment with high sensitivity and low specificity for rectoceles compared to POP-Q [49]. Unfortunately, definitions of rectocele based on defecography vary widely with 48% of nulliparous asymptomatic women demonstrating rectocele on defecography [4].…”

Section: Defecographymentioning

confidence: 99%

“…Unfortunately, definitions of rectocele based on defecography vary widely with 48% of nulliparous asymptomatic women demonstrating rectocele on defecography [4]. Multiple studies have little to weak correlation between physical examination by POP-Q and defecography [49][50][51].…”

Section: Defecographymentioning

confidence: 99%

Posterior vaginal compartment prolapse and defecatory dysfunction: are they related?

Grimes

Lukacz

2012

Int Urogynecol J

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While posterior vaginal compartment prolapse and defecatory dysfunction are highly prevalent conditions in women with pelvic floor disorders, the relationship between anatomy and symptoms, specifically obstructed defecation, is incompletely understood. This review discusses the anatomy of the posterior vaginal compartment and definitions of defecatory dysfunction and obstructed defecation. A clinically useful classification system for defecatory dysfunction is highlighted. Available tools for the measurement of symptoms, physical findings, and imaging in women with posterior compartment prolapse are discussed. Based on a critical review of the literature, we investigate and summarize whether posterior compartment anatomy correlates with function. Definitions of obstructed defecation and significant posterior compartment prolapse are proposed for future exploration.

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“…13 Defecography is recommended as a helpful diagnostic tool in the work-up of patients with posterior vaginal wall prolapse if surgical repair is considered. 14 …”

Section: Anatomymentioning

confidence: 99%

Correlation of Rectocoele Symptomatology With Pelvic Organ Prolapse Quantification Measurement

Deshpande¹,

Madkar²,

Gupta³

et al. 2017

jemds

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BACKGROUNDThe newly introduced pelvic organ prolapse quantification (POPQ) classification by International Continence Society [ICS in 1996] has been found to be definitely superior to old classification. The main difference between old and new classification is that the new classification is able to give us accurate measurement in cm as opposed to old classification which was vague, nonspecific and inaccurate. Obviously, POPQ classification is much useful in academic and research studies because we are able to apply test of statistical significance due to specific measurement in POPQ staging. In this study, we are focusing on one aspect of POP tha t is rectocoele where we will study about symptomatic relations of the rectocoele with the POPQ measurement. Objective of this study is to evaluate symptoms of rectocoele in relation to POPQ measurement.

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Correlation between posterior vaginal wall defects assessed by clinical examination and by defecography

Cited by 13 publications

References 28 publications

Contribution of Primary Pelvic Organ Prolapse to Micturition and Defecation Symptoms

Contribution of Primary Pelvic Organ Prolapse to Micturition and Defecation Symptoms

Posterior vaginal compartment prolapse and defecatory dysfunction: are they related?

Correlation of Rectocoele Symptomatology With Pelvic Organ Prolapse Quantification Measurement

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