Assessment of posterior vaginal wall prolapse: comparison of physical findings to cystodefecoperitoneography

International Urogynecology Journal and Pelvic Floor Dysfunction
Daniel AltmanA Mellgren

Abstract

The aim of the present study was to compare clinical and radiological findings when assessing posterior vaginal wall prolapse. Defecography can be used to complement the clinical evaluation in patients with posterior vaginal wall prolapse. Further development of the defecography technique, using contrast medium in the urinary bladder and intraperitoneally, have resulted in cystodefecoperitoneography (CDP). Thirty-eight women underwent clinical examination using the pelvic organ prolapse quantification system (POP-Q) followed by CDP. All patients answered a standardized bowel function questionnaire. Statistical analysis measuring correlation between POP-Q and CDP using Pearson's correlation coefficient (r) and Spearman's rank order correlation coefficient (rs) demonstrated a poor to moderate correlation, r=0.49 and rs=0.55. Although there was a strong association between large rectoceles (>3 cm) at CDP and symptoms of rectal emptying difficulties (p<0.001), severity and prevalence of bowel dysfunction showed poor coherence with clinical prolapse staging and findings at radiological imaging. Vaginal topography and POP-Q staging predict neither radiological size nor visceral involvement in posterior vaginal wall prolapse. Radiolog...Continue Reading

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Citations

Apr 25, 2012·International Urogynecology Journal·Jiajia LuoJohn O L DeLancey
May 10, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Annette G GroenendijkGouke J Bonsel
Feb 18, 2009·International Urogynecology Journal and Pelvic Floor Dysfunction·Suzan R BroekhuisMark E Vierhout
Mar 10, 2009·International Urogynecology Journal and Pelvic Floor Dysfunction·Suzan R BroekhuisKirsten B Kluivers
Jan 10, 2012·International Urogynecology Journal·Cara L Grimes, Emily S Lukacz
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Jul 1, 2021·International Urogynecology Journal·Sarah A CollinsKimberly Kenton
Aug 22, 2021·Obstetrics and Gynecology Clinics of North America·Erin C Crosby, Katherine E Husk

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