Association between vaginal parity and rectocele

International Urogynecology Journal
Hans P DietzCaroline S Wanderley Ferreira

Abstract

Rectocele is common in parous women but also seen in nulliparae. This study was designed to investigate the association between vaginal parity and descent of the rectal ampulla/rectocele depth as determined by translabial ultrasound (TLUS). This retrospective observational study involved 1296 women seen in a urogynaecological centre. All had undergone an interview, clinical examination and 4D ultrasound (US) imaging supine and after voiding. Offline analysis of volume data was undertaken blinded against other data. Rectal ampulla position and rectocele depth were measured on Valsalva. A pocket depth of 10 mm was used as a cutoff to define rectocele on imaging. Most women presented with prolapse (53%, n = 686); 810 (63%) complained of obstructed defecation (OD). Clinically, 53% (n = 690) had posterior-compartment prolapse with a mean Bp of -1 [standard deviation (SD)1.5; -3 to 9 cm]. Mean descent of the rectal ampulla was 10 mm below the symphysis (SD 15.8; -50 to 41). A rectocele on imaging was found in 48% (n = 618). On univariate analysis, OD symptoms were strongly associated with rectal descent, rectocele depth and rectocele on imaging (all P < 0.001). The prevalence of a rectocele seen on imaging increased with vaginal pari...Continue Reading

References

Jul 1, 1996·American Journal of Obstetrics and Gynecology·R C BumpA R Smith
Feb 15, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·H P DietzJ Broome
Jun 24, 2005·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·H P Dietz, A B Steensma
Sep 21, 2005·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Hans P Dietz, Barton Clarke
Feb 21, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·H P Dietz, A B Steensma
Apr 15, 2008·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·G PerniolaH P Dietz
May 28, 2008·BJOG : an International Journal of Obstetrics and Gynaecology·H P Dietz, J M Simpson
May 15, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A B SteensmaW R Schouten
Sep 30, 2009·Techniques in Coloproctology·Sthela Murad-RegadasSteven D Wexner
Aug 26, 2010·BJOG : an International Journal of Obstetrics and Gynaecology·K L Shek, H P Dietz
Nov 3, 2011·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·H P Dietz, M Beer-Gabel
Mar 5, 2013·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Hans Peter Dietz
Jun 20, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·I Kamisan AtanH P Dietz
Mar 11, 2015·International Urogynecology Journal·Rodrigo Guzmán RojasHans Peter Dietz
Mar 31, 2015·International Journal of Colorectal Disease·Marc Beer-Gabel, Dan Carter
Jul 28, 2016·Current Opinion in Obstetrics & Gynecology·Hans P DietzIan Milsom
Feb 19, 2017·International Urogynecology Journal·Suneetha RachaneniHans Peter Dietz

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

International Urogynecology Journal
Hans P DietzIxora Kamisan Atan
International Urogynecology Journal
Hans P DietzMaciej Socha
International Urogynecology Journal
Suneetha RachaneniHans P Dietz
© 2022 Meta ULC. All rights reserved