Stapled transanal rectal resection (STARR) by a new dedicated device for the surgical treatment of obstructed defaecation syndrome caused by rectal intussusception and rectocele
: early results of a multicenter prospective study.
These included 7 rectoceles
, 2 cystoceles and 4 colpoceles.
It can be used to identify internal rectal prolapse, assess pelvic floor spasticity or detect a rectocele
that may be causing obstructed defecation.
The low measurements of minimum bladder neck descent, rectocele
, uterine descent could be attributed to the fact that if the patient does not perform good valsalva.
A 52-YEAR-OLD WOMAN was given a diagnosis of stage II anterior pelvic organ prolapse, a high transverse fascial defect, stress urinary incontinence, and distal rectocele
. A gynecologist performed robotic supracervical hysterectomy and colposacropexy, with tension-free vaginal tape and perineal repair.
Another patient who presented with rectocele
had ventral rectopexy.
Evaluation includes a physical examination looking for "over correction," hypermobility, cystocele, enterocele, rectocele
or uterine prolapse.
is fundamentally a defect in the rectovaginal septum, not the rectum, and the size does not correlate with the amount of functional derangement.
In addition to the shortened perineal body, the rectocele
is an anatomic defect that is affecting sexual function.
In the early stages of ODS, patients are usually able to defecate successfully because they are able to overcome the morphologic abnormalities that become accentuated during straining, such as prolapse and rectocele
. In the final stage, however, the muscular tunica of the rectum has often thinned or become nonexistent, leading to morphologic abnormalities that permanently occlude defecation.
can be easily identified by observing the posterior vaginal wall during simulated defecation.
We observed variety of presentations, including solitary rectal ulcers (n=4) and rectocele
(n=3) but full thickness rectal prolapse was predominant(n=24).