Simultaneous defecography and peritoneography in defecation disorders

Bremmer, Staffan; Ahlbäck, Sven; Udén, Rolf; Mellgren, Anders

doi:10.1007/bf02049734

Cited by 54 publications

(24 citation statements)

References 6 publications

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“…Impaired defecation is well known in rectocele patients [1,6] but less recognized in patients with an enterocele. It is known that anterior rectal wall procidentia may be caused by an enterocele [3,7,8,9], but the impact on rectal evacuation is not fully understood. Wallden [3] has described a defecation block due to an enterocele, …”

Section: Discussionmentioning

confidence: 99%

Obstructed Defecation Caused by a Cystourethrocele and Mobile Posterior Vaginal Wall: A Case Report

Baeßler

Schuessler

2001

Int Urogynecol J

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Obstructed defecation may be caused by a rectocele and/or enterocele. Rectal wall procidentia may be due to an enterocele bulging into the rectum. Another cause of rectal procidentia resulting in obstructed defecation is presented. A 65-year-old woman complained of vaginal prolapse and incomplete bowel emptying. Pelvic examination revealed that a stage III anterior vaginal wall prolapse caused a mobile posterior vaginal wall to prolapse into the anal canal, resulting in rectal procidentia and subsequently in obstructed defecation. Careful assessment of all pelvic floor compartments is important to identify the cause of obstructed defecation, particularly in the absence of a rectocele.

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Section: Discussionmentioning

confidence: 99%

Obstructed Defecation Caused by a Cystourethrocele and Mobile Posterior Vaginal Wall: A Case Report

Baeßler

Schuessler

2001

Int Urogynecol J

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“…Rectocele was de¢ned as a bulging of the anterior rectal wall into the lumen of the vagina exceeding 2 cm in size [Shorvon et al, 1989].The size was measured from an extended line of the anal canal to the tip of the rectocele [Yoshioka et al, 1991]. Abnormal pelvic £oor descent was de¢ned as a lowering of the perineal outline exceeding 2 cm at straining [Bremmer et al, 1995].…”

Section: Radiological Examinationmentioning

confidence: 99%

“…All patients underwent defecoperitoneography as described by Bremmer et al [1995]. Rectocele was de¢ned as a bulging of the anterior rectal wall into the lumen of the vagina exceeding 2 cm in size [Shorvon et al, 1989].The size was measured from an extended line of the anal canal to the tip of the rectocele [Yoshioka et al, 1991].…”

Section: Radiological Examinationmentioning

confidence: 99%

Innervation of the rectovaginal wall in patients with rectocele compared to healthy controls

Altman

Zhang

Falconer

2006

Neurourology and Urodynamics

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“…A simultaneous rectovaginal examination determined size and location of a rectocele and enterocele (bowel palpable between vagina and rectum). Enteroceles bulging into the anal canal on digital examination and proctoscopy were classified as internal anterior rectal wall procidentia (rectal type of an enterocele or peritoneocele according to Bremmer et al, 1995). If the enterocele protruded through the anal canal, an external anterior rectal wall prolapse was noted.…”

Section: Rectovaginal Examinationmentioning

confidence: 99%

Anatomy of the sigmoid colon, rectum, and the rectovaginal pouch in women with enterocele and anterior rectal wall procidentia

Baeßler

Schuessler

2005

Clin. Anat.

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This study describes the anatomy of the rectovaginal pouch, the sigmoid colon, and rectum in women with posterior enterocele and anterior rectal wall procidentia. The anatomy of rectovaginal pouch, sigmoid colon, and rectum was described in 36 women with an enterocele (group A) and compared with those of 43 women (group B) without pelvic organ prolapse. Women with previous incontinence or prolapse surgery were excluded. The mean age in group A was 58 years (40-75) and in group B 35 years (19-64; P < 0.001). There were 15 nulliparas in group B. Nine women in group A had an internal anterior rectal wall procidentia, and one woman had an external anterior rectal wall procidentia. In group A, the rectovaginal pouch was significantly deeper, the sigmoid mesocolon at S1 shorter and showed more often a straight course (P < 0.05). These characteristics (termed "grande fosse pelvienne") were present in 23 women (64%) in group A and in 6 (14%) in group B, three of the latter were young nulliparas (P < 0.001). Age, parity, menopausal status, body mass index, constipation, and varicose veins were not associated with a grande fosse pelvienne. The typical anatomy in women with an enterocele and anterior rectal wall procidentia was a sigmoid colon with a straight course and a short mesentery at S1 and a rectovaginal pouch that covered more than half of the vaginal length. It may be a congenital condition and important in the development of an enterocele and rectal wall procidentia.

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Simultaneous defecography and peritoneography in defecation disorders

Cited by 54 publications

References 6 publications

Obstructed Defecation Caused by a Cystourethrocele and Mobile Posterior Vaginal Wall: A Case Report

Obstructed Defecation Caused by a Cystourethrocele and Mobile Posterior Vaginal Wall: A Case Report

Innervation of the rectovaginal wall in patients with rectocele compared to healthy controls

Anatomy of the sigmoid colon, rectum, and the rectovaginal pouch in women with enterocele and anterior rectal wall procidentia

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