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Another way of categorizing surgery for prolapse of pelvic organs is suspensive or resective (involving removal of sections of the bowel wall). Ventral rectopexy alone is a syspensive type surgery, a category which also includes colposacropexy. [10] Resection rectopexy additionally involves removal of a section of the sigmoid colon ...
In gynecology, a rectocele (/ ˈ r ɛ k t ə s iː l / REK-tə-seel) or posterior vaginal wall prolapse results when the rectum bulges into the vagina. [1] Two common causes of this defect are childbirth and hysterectomy. [2] Rectocele also tends to occur with other forms of pelvic organ prolapse, such as enterocele, sigmoidocele and cystocele. [1]
When operating a pelvic organ prolapse, introducing a mid-urethral sling during or after surgery seems to reduce stress urinary incontinence. [13] Transvaginal repair seems to be more effective than transanal repair in posterior wall prolapse, but adverse effects cannot be excluded. [14] According to the FDA, serious complications are "not rare ...
It is the surgical intervention for both cystocele (protrusion of the urinary bladder into the vagina) and rectocele (protrusion of the rectum into the vagina). [citation needed] The repair may be to either or both of the anterior (front) or posterior (rear) vaginal walls, thus the origin of some of its alternative names. [1] [2] [3]
Sigmoidocele may be internal if it is only detectable on defecography, or external if it detectable without imaging and associated with a rectocele or rectal prolapse. [2] It is a type of posterior compartment prolapse. [4] Sigmoidocele may be classified according to size relative to the pubococcygeal line. [2] [note 1]
Cul-de-sac hernias are the most difficult to diagnose during physical examination, and to distinguish from anterior rectocele or enterocele. [2] Furthermore, rectocele and cul-de-sac hernia may occur together. [3] Combined vaginal and rectal digital palpation may be used (examiner's thumb in vagina, index finger in anal canal). [11]
Perineoplasty (also perineorrhaphy) denotes the plastic surgery procedures used to correct clinical conditions (damage, defect, deformity) of the vagina and the anus. [1] [2] [3] Among the vagino-anal conditions resolved by perineoplasty are vaginal looseness, vaginal itching, damaged perineum, fecal incontinence, genital warts, dyspareunia, vaginal stenosis, vaginismus, vulvar vestibulitis ...
In the US, greater than 200,000 surgeries are performed each year for pelvic organ prolapse. Examples of pelvic organ prolapse are cystocele, rectocele, urethrocele, enterocele and sigmoidocele. Cystocele is the most common. [10] [2]