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Perineal herniation

F W Poon1, J C Lauder, I G Finlay

  • 1Department of Radiology and Nuclear Medicine, Royal Infirmary, Glasgow.

Clinical Radiology
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

Perineal herniation, a condition affecting pelvic floor support, was identified in 37 out of 800 patients undergoing evacuating proctograms. This study discusses the radiological findings and surgical implications of this pelvic floor abnormality.

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Area of Science:

  • Radiology
  • Gastroenterology
  • Pelvic Floor Disorders

Background:

  • Pelvic floor disorders are common, affecting many women.
  • Evacuating proctography is a key diagnostic tool for defecatory dysfunction.
  • Perineal herniation is an under-recognized component of pelvic floor dysfunction.

Purpose of the Study:

  • To determine the prevalence of perineal herniation on evacuating proctograms.
  • To correlate radiological findings with surgical outcomes.
  • To highlight the significance of perineal herniation in pelvic floor abnormalities.

Main Methods:

  • Retrospective review of 800 evacuating proctograms.
  • Identification and grading of perineal herniation.
  • Review of surgical interventions and outcomes for affected patients.

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Main Results:

  • Perineal herniation was detected in 37 (4.6%) of the 800 patients.
  • The degree of herniation varied among patients.
  • Radiological findings correlated with surgical findings in most cases.

Conclusions:

  • Evacuating proctography can identify perineal herniation.
  • Perineal herniation is a relevant finding in patients with defecatory dysfunction.
  • Further investigation into surgical management is warranted.