Does childbirth play a role in the etiology of rectocele?

International Urogynecology Journal
Rodrigo Guzmán RojasH P Dietz

Abstract

Rectoceles are common among parous women and they are believed to be due to disruption or distension of the rectovaginal septum as a result of childbirth. However, the etiology of rectocele is likely to be more complex since posterior compartment prolapse does occur in nulliparous women. This study was designed to determine the role of childbearing as an etiological factor in true radiological rectocele. This was a secondary analysis of the data from 657 primiparous women recruited as part of a previously reported study and another ongoing prospective study. Women were invited for antenatal and postnatal appointments comprising an interview, clinical examination and translabial ultrasonography. The presence and depth of any rectocele were determined on maximum Valsalva maneuver, as was descent of the rectal ampulla. Potential demographic and obstetric factors as predictors of rectocele development were evaluated using either multiple regression or logistic regression analysis as appropriate. A true rectocele was identified in 4% of women antenatally and in 16% after childbirth (P < 0.001). Mean rectocele depth was 13.5 mm (10 - 23.2 mm). The mean antepartum position of the rectal ampulla on Valsalva maneuver was 4.39 mm above a...Continue Reading

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Citations

Feb 27, 2015·Archives of Gynecology and Obstetrics·Eva EndressH P Dietz
Feb 13, 2016·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·K L Shek, H P Dietz
Feb 22, 2018·International Urogynecology Journal·Hans Peter DietzCaroline S Wanderley Ferreira
Feb 19, 2017·International Urogynecology Journal·Suneetha RachaneniHans Peter Dietz
Jul 22, 2020·International Urogynecology Journal·Sameh Hany EmileHesham Elgendy
Feb 18, 2021·International Urogynecology Journal·Hans Peter Dietz

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