Posterior pelvic floor prolapse and a review of the anatomy, preoperative testing and surgical management

Minerva Ginecologica

Volumn 60, Issue 2, 2008, Pages 165-182

  Kleeman, S D ^a,b   Karram, M ^a,b  

^a UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE   (United States)

^b GOOD SAMARITAN HOSPITAL   (United States)

Author keywords

Pelvic floor; Reconstructive surgical procedures; Rectocele

Indexed keywords

ADVENTITIA; COLPORRHAPHY; DEFECOGRAPHY; DIAGNOSTIC IMAGING; ECHOGRAPHY; FEMALE; GYNECOLOGIC SURGERY; HUMAN; HYMEN; IMAGE ANALYSIS; INTESTINE TRANSIT TIME; LEVATOR ANI MUSCLE; LEVATOR ANI PLICATION; MANOMETRY; NUCLEAR MAGNETIC RESONANCE IMAGING; PELVIC ORGAN PROLAPSE; PELVIS FLOOR; RECTOCELE; RECTUM; REVIEW; SURGICAL ANATOMY; SURGICAL APPROACH; TREATMENT FAILURE; TREATMENT OUTCOME; UTERINE CERVIX; UTERUS; VAGINA; VAGINA RECONSTRUCTION;

ADULT; FEMALE; GYNECOLOGIC SURGICAL PROCEDURES; HUMANS; MAGNETIC RESONANCE IMAGING; PELVIC FLOOR; PREOPERATIVE CARE; RECTOCELE; UTERINE PROLAPSE;

EID: 47249145142     PISSN: 00264784     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (70)

1. Richardson AC, Lyon JB, Williams NL. A new look at pelvic relaxation. Am J Obstet Gynecol 1976;126:568-75.
2. Richardson AC. The anatomic defects in rectocele and enterocele. J Pelv Surg 1995;1:214-21.
3. Richardson AC. The rectovaginal septum revisited: its relationship to rectocele and its importance in rectocele repair. Clin Obstet Gynecol 1993;36:976-83.
4. Delancy JOL. Structural anatomy of the posterior pelvic compartment at it relates to rectocele. Am J Obstet Gynecol 1999;180:815-23.
5. Goff BH. An histologic study of the perivaginal fascia in a nullipara. Surg Gynecol Obstet 1931;52:32-42.
6. Ricci JV, Lisa JR, Thom CH, Kron WL. The relationship of the vagina to adjacent organs in reconstructive surgery. Am J Surg 1947; 74:387-410.
7. Krantz KE. The gross and microscopic anatomy of the human vagina. Ann N Y Acad Sci 1959;83:89-104.
8. Milley PS, Nichols DH. A correlative investigation of the human rectovaginal septum. Anat Rec 1969;163:443-51.
9. Uhlenhuth E, Nollev GW. Vaginal fascia, a myth? Obstet Gynecol 1957;10:349-58.
10. Uhlenhuth E, Wolfe WM, Smith EM, Middleton EB. The rectovaginal septum. Surg Gynecol Obstet 1948;86:148-63.
11. Walters MD. Pelvic floor prolapse: cystocele and rectocele. In: Walters MD, Karram MM, editors. Clinical urogynecology. St Louis: Mosby-Year Book; 1993.p.225-36.
12. Shorvon PJ, McHugh S, Diamant NE, Somers S, Stevenson GW. Defecography in normal volunteers: results and implications. Gut 1989;30:1737-49.
13. Sultan AH. Anal incontinence after childbirth. Curr Opin Obstet Gynecol 1997;9:320-4
14. Sultan AH, Stanton SL. Preserving the pelvic floor and perineum during childbirth: elective caesarean section? Br J Obstet Gynaecol 1996;103:731-4.
15. Benson JT. Vaginal approach to posterior vaginal defects: the perineal site. In: Baden W, Walker T, editors. Surgical repair of vaginal defects. New York: Lippincott; 1992.p.219-33.
16. Kahn MA, Stanton SL. Techniques of rectocele repair and their effects on bowel function. Int Urogynecol J Pelvic Floor Dysfunct 1998;9:37-47.
17. Handa VL, Harris TA, Ostergard DR. Protecting the pelvic floor: obstetric management to prevent incontinence and pelvic organ prolapse. Obstet Gynecol 1996;88:470-8.
18. Johansson C, Nilsson BY, Holmstrom B, Dolk A, Mellgren A. Association between rectocele and paradoxical sphincter response. Dis Colon Rectum 1992;35:503-9.
19. Green JR, Soohoo SL. Factors associated with rectal injury in spontaneous deliveries. Obstet Gynecol 1989;73(5 Pt 1):732-8.
20. Agachan F, Pfeifer J, Wexner SD. Defecography and proctography: results of 744 patients. Dis Colon Rectum 1996;39:899.
21. Kruyt RH, Delemarre JB, Doornbos J, Vogel HJ. Normal anorectum: dynamic MR imaging anatomy. Radiology 1991;179:159-63.
22. Yang A, Mostwin JL, Rosenshein NB, Zerhouni EA. Pelvic floor descent in women: dynamic evaluation with fast MR imaging and cinematic display. Radiology 1991;179:25-33.
23. Cundiff GW, Weidner AC, Visco AG, Addison WA, Bump RC. An anatomic and functional assessment of the discrete defect rectocele repair. Am J Obstet Gynecol 1998;179(6 Pt 1):1451-6; discussion 1456-7.
24. Porter WE, Steele A, Walsh P, Kohli N, Karram MM. The anatomic and functional outcomes of defect-specific rectocele repairs. Am J Obstet Gynecol 1999;181:1353-8; discussion 1358-9.
25. Kenton K, Shott S, Brubaker L. Outcome after rectovaginal fascia reattachment for rectocele repair. Am J Obstet Gynecol 1999;181:1360-3.
26. Glavind K, Madsen H. A prospective study of the discrete fascial defect rectocele repair. Acta Obstet Gynecol Scand 2000;79:145-7.
27. Singh K, Cortes E, Reid WM. Evaluation of the fascial technique for surgical repair of isolated posterior vaginal wall prolapse. Obstet Gynecol 2003;101:320-4.
28. Abramov Y, Gandhi S, Goldberg RP, Botros SM, Kwon C, Sand PK. Site-specific rectocele repair compared with standard posterior colporrhaphy. Obstet Gynecol 2005;105:314-8.
29. nd ed. Oxford: Isis Medical Media; 1999.
30. Oster S, Astrup A. A new vaginal operation for recurrent and large rectocele using dermis transplant. Acta Obstet Gynecol Scand 1981;60:493-5.
31. Sand PK, Koduri S, Lobel RW, Winkler HA, Tomezsko J, Culligan PJ, Goldberg R. Prospective randomized trial of polyglactin 910 mesh to prevent recurrence of cystoceles and rectoceles. Am J Obstet Gynecol 2001;184:1357-62; discussion 1362-4.
32. Goh JW, Dwyer PL. Effectiveness and safety of polypropylene mesh in vaginal prolapse surgery. Int Urogynecol J 2001;12:S90.
33. Kohli N, Miklos JR. Dermal graft-augmented rectocele repair. Int Urogynecol J Pelvic Floor Dysfunct 2003;14:146-9.
34. Dell JR, O'Kelley KR. PelviSoft BioMesh augmentation of rectocele repair: the initial clinical experience in 35 patients. Int Urogynecol J Pelvic Floor Dysfunct 2005;16:44-7; discussion 47.
35. Dwyer PL, O'Reilly BA. Transvaginal repair of anterior and posterior compartment prolapse with Atrium polypropylene mesh. BJOG 2004;111:831-6.
36. Watson SJ, Loder PB, Halligan S, Bartram CI, Kamm MA, Phillips RK. Transperineal repair of symptomatic rectocele with Marlex mesh: a clinical, physiological and radiologic assessment of treatment. J Am Coll Surg 1996;183:257-61.
37. Mercer-Jones MA, Sprowson A, Varma JS. Outcome after transperineal mesh repair of rectocele: a case series. Dis Colon Rectum 2004;47:864-8.
38. Sullivan ES, Leaverton GH, Hardwick CE. Transrectal perineal repair: an adjunct to improved function after anorectal surgery. Dis Colon Rectum 1968;11:106-14.
39. Sehapayak S. Transrectal repair of rectocele: an extended armamentarium of colorectal surgeons. A report of 355 cases. Dis Colon Rectum 1985;28:422-33.
40. Janssen LW, van Dijke CF. Selection criteria for anterior rectal wall repair in symptomatic rectocele and anterior rectal wall prolapse. Dis Colon Rectum 1994;37:1100-7.
41. Murthy VK, Orkin BA, Smith LE, Glassman LM. Excellent outcome using selective criteria for rectocele repair. Dis Colon Rectum 1996;39:374-8.
42. Karlbom U, Graf W, Nilsson S, Pahlman L. Does surgical repair of a rectocele improve rectal emptying? Dis Colon Rectum 1996;39:1296-302.
43. rd, Rosen L, Riether RD, Stasik JJ Jr. Endorectal repair of rectocele revisited. Br J Surg 1997;84:89-91.
44. Rao GN, Carr ND, Beynon J, Francis HC. Endorectal repair of rectocoele revisited. Br J Surg 1997;84:1034. Erratum in: Br J Surg 1997;84:1484.
45. Ho YH, Ang M, Nyam D, Tan M, Seow-Choen F. Transanal approach to rectocele repair may compromise anal sphincter pressures. Dis Colon Rectum 1998;41:354-8.
46. Tjandra JJ, Ooi BS, Tang CL, Dwyer P, Carey M. Transanal repair of rectocele corrects obstructed defecation if it is not associated with anismus. Dis Colon Rectum 1999;42:1544-50.
47. Ayabaca SM, Zbar AP, Pescatori M. Anal continence after rectocele repair. Dis Colon Rectum 2002;45:63-9.
48. Rust JA, Botte JM, Howlett RJ. Prolapse of the vaginal vault. Improved techniques for management of the abdominal approach or vaginal approach. Am J Obstet Gynecol 1976;125:768-76.
49. Todd JW. Mesh suspension for vaginal prolapse. Int Surg 1978;63:91-3.
50. Feldman GB, Birnbaum SJ. Sacral colpopexy for vaginal vault prolapse. Obstet Gynecol 1979;53:399-401.
51. Cowan W, Morgan HR. Abdominal sacral colpopexy. Am J Obstet Gynecol 1980;138:348-50.
52. rd, Sutton GP, Parker RT. Abdominal sacral colpopexy with Mersilene mesh in the retroperitoneal position in the management of posthysterectomy vaginal vault prolapse and enterocele. Am J Obstet Gynecol 1985;153:140-6.
53. Drutz HP, Cha LS. Massive genital and vaginal vault prolapse treated by abdominal-vaginal sacropexy with use of Marlex mesh: review of the literature. Am J Obstet Gynecol 1987;156:387-92.
54. Angulo A, Kligman I. Retroperitoneal sacrocolpopexy for correction of prolapse of vaginal vault. Surg Gynecol Obstet 1989;169:319-23.
55. Baker KR, Beresford JM, Campbell C. Colposacropexy with Prolene mesh. Surg Gynecol Obstet 1990;171:51-4.
56. Maloney JC, Dunton CJ, Smith K. Repair of vaginal vault prolapse with abdominal sacropexy. J Reprod Med 1990;35:6-10.
57. Creighton SM, Stanton SL. The surgical management of vaginal vault prolapse. Br J Obstet Gynaecol 1991;98:1150-4.
58. Snyder TE, Krantz KE. Abdominal-retroperitoneal sacral colpopexy for the correction of vaginal prolapse. Obstet Gynecol 1991;77:944-9.
59. Timmons MC, Addison WA, Addison SB, Cavenar MG. Abdominal sacral colpopexy in 163 women with posthysterectomy vaginal vault prolapse and enterocele. Evolution of operative techniques. J Reprod Med 1992;37:323-7.
60. Imparato E, Aspesi G, Rovetta E, Presti M. Surgical management and prevention of vaginal vault prolapse. Surg Gynecol Obstet 1992;175:233-7.
61. Traiman P, De Luca LA, Silva AA, Antonini R, Dias R, Rodrigues JR. Abdominal colpopexy for complete prolapse of the vagina. Int Surg 1992;77:91-5.
62. Iosif CS. Abdominal sacral colpopexy with use of synthetic mesh. Acta Obstet Gynecol Scand 1993;72:214-7.
63. Grunberger W, Grunberger V, Wierrani F. Pelvic promontory fixation of the vaginal vault in sixty-two patients with prolapse after hysterectomy. J Am Coll Surg 1994;178:69-72.
64. Virtanen H, Hirvonen T, Makinen J, Kiilholma P. Outcome of thirty patients who underwent repair of posthysterectomy prolapse of the vaginal vault with abdominal sacral colpopexy. J Am Coll Surg 1994;178:283-7.
65. Valaitis SR, Stanton SL. Sacrocolpopexy: a retrospective study of a clinician's experience. Br J Obstet Gynaecol 1994;101:518-22.
66. van Lindert AC, Groenendijk AG, Scholten PC, Heintz AP. Surgical support and suspension of genital prolapse, including preservation of the uterus, using the Gore-Tex soft tissue patch (a preliminary report). Eur J Obstet Gynecol Reprod Biol 1993;50:133-9.
67. th ed. Philadelphia, Pa: Lippincott, Williams and Wilkins; 2003.
68. Kleeman SD, Westermann C, Karram MM. Rectoceles and the anatomy of the posterior vaginal wall: revisited. Am J Obstet Gynecol 2005;193:2041-4.
69. Weber AM, Walters MD. Anterior vaginal prolapse: review of anatomy and techniques of surgical repair. Obstet Gynecol 1997;89:311-8.
70. Tulikangas PK, Walters MD, Brainard JA, Weber AM. Enterocele: is there a histologic defect? Obstet Gynecol 2001;98:634-7.