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Related Experiment Video

Updated: Jul 13, 2026

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse

Published on: April 17, 2019

[Rectocele: analysis of 239 cases].

¹Second Military Medical College, Shanghai.

Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]

|February 1, 1990

Summary

Rectocele (RC) grading helps identify surgical candidates. Deeper rectoceles (Grades II and III) show good surgical outcomes, unlike shallow Grade I cases, particularly those ≤10 mm.

Area of Science:

Urogynecology
Radiology
Surgical Outcomes

Background:

Rectocele (RC) is a common condition affecting women, particularly those who have given birth.
Accurate assessment of rectocele severity is crucial for effective treatment planning.

Purpose of the Study:

To establish a radiologic grading system for rectocele based on depth.
To evaluate the correlation between rectocele grade and surgical treatment outcomes.

Main Methods:

Radiologic findings of rectocele were analyzed in 239 patients.
Rectocele depth was categorized into three grades: Grade I (6-15 mm), Grade II (16-30 mm), and Grade III (>31 mm).
Surgical outcomes were assessed for 70 surgically treated patients.

Main Results:

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Excellent or good surgical outcomes were observed in patients with Grade II and Grade III rectoceles.
Poor surgical outcomes were noted in Grade I rectoceles, especially when the depth was ≤10 mm.
The proposed grading system demonstrated a correlation with treatment success.

Conclusions:

The radiologic grading of rectocele by depth is a valuable tool for patient selection in surgical management.
This grading system can help predict surgical success and optimize treatment strategies for rectocele.