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Evaluation and management of rectoceles.
Jeffrey L Segal1, Mickey M Karram
1Division of Urogynecology and Reconstructive Pelvic Surgery, Good Samaritan Hospital, Cincinnati, Ohio 45220, USA. Jeffreysegal@msn.com
Current Opinion in Urology
|June 20, 2002
Summary
Rectocele repair has advanced with defect-specific techniques improving outcomes. Further research is needed to fully understand the link between rectoceles and defecatory dysfunction.
Area of Science:
- Urogynecology
- Pelvic Floor Disorders
- Female Pelvic Medicine
Background:
- Increasing life expectancy leads to a rise in pelvic organ prolapse, particularly rectoceles.
- Understanding rectocele anatomy and contributing factors is crucial for effective management.
Purpose of the Study:
- To review the basic anatomy and contributing factors of rectocele development.
- To discuss current work-up and treatment options for rectoceles.
Main Methods:
- Literature review focusing on anatomic restoration and quality of life.
- Evaluation of preoperative tests for combined pelvic floor disorders.
- Analysis of outcomes data for various surgical repair approaches.
Main Results:
- Current literature emphasizes anatomic restoration and quality of life, including visceral and sexual function.
- Studies are exploring preoperative tests to better evaluate complex pelvic floor disorders.
- Outcomes data for different rectocele repair methods are under investigation.
Conclusions:
- Surgical approaches for symptomatic rectoceles have evolved to defect-specific repairs, improving outcomes.
- While anatomic and functional results have advanced, the correlation between rectocele and defecatory dysfunction requires further definition.