Clin Colon Rectal Surg 2010; 23(2): 090-098
DOI: 10.1055/s-0030-1254295
© Thieme Medical Publishers

Rectocele

David E. Beck1 , Nechol L. Allen1
  • 1Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana
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Publikationsdatum:
28. Mai 2010 (online)

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ABSTRACT

Rectoceles are common and involve a herniation of the rectum into the posterior vaginal wall that results in a vaginal bulge. Women with rectoceles generally complain of perineal and vaginal pressure, obstructive defecation, constipation, or the need to splint or digitally reduce the vagina to effectuate a bowel movement. Rectoceles are associated with age and parturition and arise from either a tear or stretching of the rectovaginal fascia, and can be repaired via a vaginal, anal, or perineal approach. Although the rate of successful anatomic repair is high, reports of functional outcome are more variable.