A dynamic MR-defecography was performed to confirm diagnosis of IRP, rectocele and/or enterocele
. Descending perineum (DP)> 3 cm was also a recorded pelvic structural abnormality during dynamic MR-defecography.
Higher stage posterior vaginal wall prolapse after prior hysterectomy will generally involve some vaginal vault (cuff scar) descent and possible enterocele
This procedure not only supports the vaginal cuff but also closes off the cul-de-sac, thus preventing the formation of an enterocele
Posterior vaginal repairs may address an enterocele
, rectocele, and/or perineal body defect.
In our study population, the most common complaint was a recurrent obstructed defecation (82.11%), due to de novo postoperative rectoanal stricture or to underestimated preexisting abnormalities, such as nonrelaxing puborectalis muscle (Figure 6), enterocele
, peritoneocele, or pelvic organ prolapse (POP), whose correction was not taken under consideration by STARR.
Omentocele was 3% cases, while enterocele
in 4% cases.
La hernia de Richter o enterocele
parcial es un especial tipo de hernia incarcerada con pinzamiento del borde antimesenterico del intestino delgado, que causa solo la estrangulacion de esa parte de la circunferencia de la pared intestinal.
Seis horas despues del ingreso es llevada a correccion quirurgica, con participacion del servicio de ginecologia, el cual realiza histerectomia vaginal + colporrafia anterior/posterior + correccion de enterocele
y fijacion bilateral de cupula vaginal a ligamento sacroespinoso (figuras 3, 4, 5); el servicio de cirugia general realiza un lavado pelvico via vaginal.
It may also occur when the front and back walls of the vagina separate, allowing the intestines to push against the vaginal wall in a form of prolapse called enterocele
may occur with a uterus in place, but vaginal vault prolapse occurs only after hysterectomy when the uterus no longer supports the top of the vagina.
Central defects are often associated with the loss of Level I support at the cardinal ligaments, and patients may present with a concomitant enterocele
. The traditional repair of a central cystocele has involved a plication of the pubocervical fascia in the midline (anterior colporrhaphy) (Figure 2), while a lateral cystocele is repaired with a reattachment of the vesicopelvic ligament to the pelvic sidewall (paravaginal repair).
(6) It covers a wide range of conditions: female genital prolapse including all forms of vaginal prolapse (cystocele, enterocele
, rectocele), urinary and faecal incontinence, congenital abnormalities, fistulas, voiding difficulties, lichen planus, lichen sclerosus and dyspareunia.
Pelvic organ prolapse can cause genitourinary symptoms such as urinary incontinence, urinary retention, recurrent urinary tract infections, hydronephrosis, bowel disorders such as rectocele, enterocele
, and difficult defecation, sexual dysfunction, and a sense of general discomfort (5).