On the pathogenesis of rectocele: The concept rectovaginal pressure gradient

International Urogynecology Journal

Volumn 14, Issue 5, 2003, Pages 310-315

  Shafik, Ahmed ^a   El Sibai, Olfat ^b   Shafik, Ali A ^a   Ahmed, Ismail ^a  

^a CAIRO UNIVERSITY   (Egypt)

^b MENOUFIA UNIVERSITY   (Egypt)

Author keywords

Bulbocavernosus muscle; Episiotomy; Obstructed defecation; Puborectalis muscle; Rectovaginal septum; Uterine prolapse

Indexed keywords

ABDOMINAL PRESSURE; ADULT; ARTICLE; CLINICAL ARTICLE; CONTROLLED STUDY; COUGHING; ELECTROMYOGRAM; EPISIOTOMY; FEMALE; HISTOPATHOLOGY; HUMAN; PATHOGENESIS; PELVIC ORGAN PROLAPSE; PRESSURE GRADIENT; PRESSURE MEASUREMENT; PRIORITY JOURNAL; RECORDING; RECTOCELE; STATISTICAL SIGNIFICANCE; UTERUS PROLAPSE;

EID: 0345874550     PISSN: 09373462     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00192-003-1087-7     Document Type: Article

References (24)

1. Mellgren A, Bremmer S, Johansson C et al. (1994) Defecography: Results of investigations in 2816 patients. Dis Colon Rectum 37:1133-1141
2. Bartolo DC, Bartram CI, Ekberg O et al. (1988) Proctography (symposium). Int J Colorectal Dis 3:67-69
3. Shorvon PJ, McHugh S, Somers S et al. (1987) Defecography findings in young healthy volunteers: results and implications. Gut 28:A1361-A1362
4. Agachan F, Pfeifer J, Wexner SD (1996) Defecography and proctography: results of 744 patients. Dis Colon Rectum 39:899-905
5. Siproudhis L, Dautreme S, Ropert A et al. (1993) Dyschezia and rectocele - a marriage of convenience? Physiologic evaluation of rectocele in a group of 52 women complaining of difficulty in evacuation. Dis Colon Rectum 36:1030-1036
6. Karlbom U, Graf W, Nilsson S et al. (1996) Does surgical repair of a rectocele improve rectal emptying? Dis Colon Rectum 39:1296-1302
7. Mahieu P, Pringot J, Bodart P (1984) Defecography: II. Contribution to the diagnosis of defecation disorders. Gastrointest Radiol 9:253-261
8. Ekberg O, Nylander G, Fort FT (1985) Defecography. Radiology 155:45-48
9. Shorvon PJ, Mc Hugh S, Diamant NE et al. (1989) Defecography in normal volunteers: results and implications. Gut 30:1737-1749
10. Yoshioka K, Matsui Y, Yamada O et al. (1991) Physiologic and anatomic assessment of patients with rectocele. Dis Colon Rectum 34:704-708
11. Johansson C, Nilsson BY, Holmstrom B et al. (1992) Association between rectocele and paradoxical sphincter response. Dis Colon Rectum 35:503-509
12. Cavallo G, Salzano A, Grassi R et al. (1991) Rectocele in males: clinical, defecographic, and CT study of singular cases. Dis Colon Rectum 34:964-966
13. Shafik A, Mostafa RM, Shafik AA et al. (2002) Study of the effect of straining on the bulbocavernosus muscle with evidence of a straining-bulbocavernosus reflex and its clinical significance. Int Urogynecol J 13:294-298
14. Shafik A (1991) Straining puborectalis reflex: Description and significance of a "new" reflex. Anat Rec 229:281-284
15. Shafik A (1995) The peno-motor reflex. Study of the response of the puborectalis and levator ani muscles to glans penis stimulation. Int J Impot Res 7:239-246
16. Shafik A (1995) Response of the urethral and intra-corporeal pressure to cavernosus muscle stimulation: Role of the muscles in erection and ejaculation. Urology 46:85-88
17. Shafik A (1995) The "clitoromotor" reflex. Int Urogynecol J 6:329-336
18. Symmonds RE (1991) Relaxation of pelvic support. In: Pernoll ML, Benson RC, eds. Current obstetric and gynecologic diagnosis and treatment, 7th edn. New Jersey, Prentice-Hall International Inc., 830-851
19. Kuhn RJ, Hollyock VE (1982) Observations on the anatomy of the rectovaginal pouch and septum. Obstet Gynecol 59:445-601
20. Johansson C, Nilsson BY, Mellgren A et al. (1992) Paradoxical sphincter reaction and associated colorectal disorder Int J Colorect Dis 7:89-92
21. Miller R, Duthie GS, Bartolo DC et al. (1991) Anismus in patients with normal and slow transit constipation. Br J Surg 78:690-692
22. Halligan S, Bartram CI, Park HJ et al. (1995) Proctographic features of anismus. Radiology 197:679-682
23. Van Dam JH, Schouten WR, Ginai AZ et al. (1996) The impact of anismus on the rectal clinical outcome of rectocele repair. Int J Colorect Dis 11:238-242
24. Tjandra JJ, Ooi BS, Tang CL et al. (1999) Transanal repair of rectocele corrects obstructed defecation if it is not associated with anismus. Dis Colon Rectum 42:1544-1550