IngentaConnect How could management of rectoceles be optimized?

Authors: Goh, Judith T. W.¹; Tjandra, Joe J.¹; Carey, Marcus P.¹

Source: ANZ Journal of Surgery, Volume 72, Number 12, December 2002 , pp. 896-901(6)

Abstract:

A posterior vaginal wall prolapse, also known as a rectocele, is a common condition and is an outpouching of the posterior vaginal wall and anterior rectal wall into the lumen of the vagina. Although more common in parous women, rectoceles of over 1 cm in size have been demonstrated in over 40% of nulliparous women. As rectoceles may be asymptomatic, their true prevalence is not clear. Many women with rectoceles present to their gynaecologist who may not ascertain any anorectal symptoms or perform a rectal examination. Conversely, colorectal surgeons often disregard a vaginal examination. Conventionally, gynaecologists have managed rectoceles, but increasingly colorectal surgeons are involved because of the prevalence of anorectal symptoms. There are many surgical techniques for the management of a symptomatic rectocele. There is, however, little data to suggest which is the most effective technique, or whether specific techniques are more appropriate in certain circumstances.

Document Type: Research article

DOI: 10.1046/j.1445-2197.2002.t01-1-02577.x

Affiliations: 1: Department of Urogynaecology, Royal Women's Hospital and Department of Surgery, Colorectal Unit, Royal Melbourne Hospital, Melbourne, Victoria, Australia

The full text electronic article is available for purchase. You will be able to download the full text electronic article after payment.

$50.16 plus tax Refund Policy