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Investigation of the relationship between rectocele and other pelvic floor disorders
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Abstract
SUMMARY
Background - Objectives: Pelvic floor dysfunction and prolapse are common condition of women past the middle age, with nonspecific clinical symptoms. Many cases of rectocele occurs combine with other pelvic floor disorders. Failure to recognize the complex set of pelvic floor defects leads to most therapy failures. The aim of this study is order to evaluate the correlations between age, number of birth and rectocele, and to define the role of dynamic magnetic resonance defecography in diagnosis.
Methods: Cross-study description. Patients with pelvic floor dysfunction had done clinical examinations and they were indicated
dynamic MR Defecography at University Medical Center, HCM City
by urologist or gynecologist and proctologist.
Results: MR Defecography of 1683 patients was evaluated
from 01/2008 to 6/2012. Most patients are about 40 to 50 years old
with 2 to 3 parity. 1218 patients with incontinence; 1311 patients (77.9%) has rectocele. Prolapse of the posterior compartment
is the most common type of prolapse. Rectocele combines with
more than one pelvic organ prolapse 77.4%; 64.2% of the patients
with anismus had rectocele. There are statistically significant in
the correlation of age, the number of birth with rectocele or pelvic
organ prolapse (OR # 1.04-2.67 and p<0.005). Risk of rectocele
was higher in the patients with pelvic organ prolapse than in the patients without pelvic organ prolapse (p<0.005).
Conclusions: Complex pelvic floor disorders often involve several compartments. Dynamic MR Defecography allows evaluating the both morphological and functional assessment of the pelvic floor, selecting the most appropriate treatment.
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References
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