Consistently inconsistent, the posterior vaginal wall

American Journal of Obstetrics and Gynecology
Douglass S Hale, Dee Fenner

Abstract

Posterior vaginal wall prolapse is one of the most common prolapses encountered by gynecological surgeons. What appears to be a straightforward condition to diagnose and treat surgically for physicians has proven to be frustratingly unpredictable with regard to symptom relief for patients. Functional disorders such as dyssynergic defecation and constipation are often attributed to posterior vaginal wall prolapse. Little scientific evidence supports this assumption, emphasizing that structure and function are not synonymous when treating posterior vaginal wall prolapse. Rectoceles, enteroceles, sigmoidoceles, peritoneoceles, rectal and intraanal intussusception, rectal prolapse, and descending perineal syndrome are all conditions that have an impact on the posterior vaginal wall. All too often these different anatomic conditions are treated with the same surgical approach, addressing a posterior vaginal wall bulge with a traditional posterior colporrhaphy. Studies that examine the correlation between stage of posterior wall prolapse and patient symptoms have failed to reliably do so. Surgical outcomes measured by prolapse staging appear successful, yet patient expectations are often not met. As increasing attention is being plac...Continue Reading

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Citations

Jun 5, 2016·Gastroenterology Clinics of North America·Alison Freeman, Stacy Menees
May 1, 2016·American Journal of Obstetrics and Gynecology·Michael P Goodman
May 1, 2016·American Journal of Obstetrics and Gynecology·Dee Fenner, Douglass Hale
Oct 27, 2016·American Journal of Obstetrics and Gynecology·Victoria L HandaJoan L Blomquist
Aug 23, 2016·Current Obstetrics and Gynecology Reports·Heidi Brown, Cara Grimes
Mar 25, 2019·International Urogynecology Journal·Moshe GillorHans Peter Dietz
Apr 12, 2019·International Urogynecology Journal·Bing XieJohn O DeLancey
Jul 22, 2020·Diseases of the Colon and Rectum·Tae David KimJan P Kamiński
Mar 14, 2019·Female Pelvic Medicine & Reconstructive Surgery·Pedro A MaldonadoMarlene M Corton
Mar 12, 2021·International Urogynecology Journal·Luyun ChenJohn O DeLancey
Feb 8, 2018·American Journal of Obstetrics and Gynecology·Mitchell B BergerJohn O L DeLancey
May 28, 2019·American Journal of Obstetrics and Gynecology·Päivi K KarjalainenJyrki T Jalkanen

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