Novel approach to combined defaecation and micturition disorders with rectovaginovesicopexy

Silvis, R.; Gooszen, Hein G.; Kahraman, Turhan; Groenendijk, Annette G.; Lock, Margaret; Italiaander, M. V.; Janssen, Luuk M.

doi:10.1046/j.1365-2168.1998.00686.x

Cited by 29 publications

(26 citation statements)

References 22 publications

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“…In our patients, constipation was present in the same proportion of patients with enterocele as in previous studies [5–7,9]. Moreover, abdominal colporectosacropexy did not modify the incidence of constipation, thus confirming previous results [5,7] .…”

Section: Discussionsupporting

confidence: 91%

“…The symptoms of enterocele include pelvic pressure, obstructed defaecation, lower abdominal pain and faecal incontinence [2] . Several surgical procedures by the transvaginal or abdominal approach have been suggested to improve symptoms in these patients [3–8] . Transvaginal procedures decrease symptoms in more than 80% of patients, but decrease vaginal lumen and depth, and induced more relapse than transabdominal approaches [3,5,6,8,9] .…”

Section: Introductionmentioning

confidence: 99%

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Treatment of enterocele by abdominal colporectosacropexy – efficacy on pelvic pressure

et al. 2002

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OBJECTIVE: Enterocele induces pelvic pressure, obstructed defaecation, lower abdominal pain and/or false urge to defaecate in patients. The aim of this study was to evaluate the efficacy of abdominal colporectosacropexy in these symptoms, especially on pelvic pressure. METHODS: Sixty-two consecutive women with enterocele were included. All patients were symptomatic because they had: pelvic pressure (n = 62), obstructed defaecation (n = 40), lower abdominal pain (n = 8) or faecal incontinence (n = 16). Defaecography confirmed enterocele in all patients. The surgical procedure was performed by the same surgeon and was an abdominal colporectosacropexy with a nonabsorbable Prolene(R) mesh. After surgery, clinical evaluation (62/62 patients) and a telephone questionnaire (56/62 patients) were performed, respectively, 3 months and 27 +/- 13 months after surgery. RESULTS: Defaecography showed rectal abnormalities associated with enterocele in 59/62 patients (rectocele, rectal prolapse). No recurrence of enterocele was observed 3 months after surgery, but 1 patient demonstrated recurrence 10 months after surgery. Pelvic pressure was less frequent after abdominal colporectosacropexy, than before surgery (P < 0.01): pelvic pressure totally disappeared in 41/56 patients, and partially in 10/56 patients. The number of patients with obstructed defaecation, lower abdominal pain, or faecal incontinence was not different before and 27 months after surgery. The number of patients with urinary incontinence was also not different before and after surgery (30 and 27 patients). CONCLUSIONS: This study of a large number of patients with enterocele shows that abdominal colporectosacropexy improves pelvic pressure in most patients and does not modify urinary status.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Treatment of enterocele by abdominal colporectosacropexy – efficacy on pelvic pressure

et al. 2002

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“…This was observed in 30% of the patients preoperatively and disappeared after surgery in the present study. This might be another effect of restoring a firm rectovaginal septum with the procedure as in the case of a similar mechanism with rectovaginovesicopexy [20]. Transvaginal anterior levatorplasty with posterior colporrhaphy might be an option for symptomatic rectocele to improve anorectal and urinary dysfunctions with morphological disorders.…”

Section: Discussionmentioning

confidence: 97%

Transvaginal anterior levatorplasty with posterior colporrhaphy for symptomatic rectocele

et al. 2003

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“…The literature contains many reports documenting improvement in defecatory symptoms [8][9][10], but only a few of these mention new-onset symptoms and postoperative dyspareunia. In our clinic, the modified anterolateral rectopexy described by Silvis et al [11] is used for treatment of rectocele.…”

Section: J Vermeulen • Jf Lange • Ac Sikkenk • E Van Der Harstmentioning

confidence: 99%

Anterolateral rectopexy for correction of rectoceles leads to good anatomical but poor functional results

et al. 2005

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Novel approach to combined defaecation and micturition disorders with rectovaginovesicopexy

Abstract: RVVP provides satisfactory improvement of combined defaecation and micturition disorders. The benefits of a limited extension of the RVP seem to outweigh potential side-effects such as deterioration or de novo defaecation or micturition disorders.

Cited by 29 publications

References 22 publications

Treatment of enterocele by abdominal colporectosacropexy – efficacy on pelvic pressure

Treatment of enterocele by abdominal colporectosacropexy – efficacy on pelvic pressure

Transvaginal anterior levatorplasty with posterior colporrhaphy for symptomatic rectocele

Anterolateral rectopexy for correction of rectoceles leads to good anatomical but poor functional results

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