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The relationship between obstructed defecation and true rectocele in patients with pelvic organ prolapse

We aimed to investigate the prevalence of true rectocele and obstructed defecation (OD) in patients with pelvic organ prolapse (POP), to investigate the correlation between true rectocele and OD, and to understand the diagnostic value of translabial ultrasound (TLUS) in the diagnosis of true rectoce...

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Autores principales: Tan, Cheng, Geng, Jing, Tang, Jun, Yang, Xin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7101397/
https://www.ncbi.nlm.nih.gov/pubmed/32221359
http://dx.doi.org/10.1038/s41598-020-62376-2
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author Tan, Cheng
Geng, Jing
Tang, Jun
Yang, Xin
author_facet Tan, Cheng
Geng, Jing
Tang, Jun
Yang, Xin
author_sort Tan, Cheng
collection PubMed
description We aimed to investigate the prevalence of true rectocele and obstructed defecation (OD) in patients with pelvic organ prolapse (POP), to investigate the correlation between true rectocele and OD, and to understand the diagnostic value of translabial ultrasound (TLUS) in the diagnosis of true rectocele. The patients who scheduled for POP surgery were enrolled in this study. Patients who had previous reconstructive pelvic surgery or repair of rectocele were excluded. Birmingham Bowel and Urinary symptoms questionnaires and Longo’s obstructed defecation syndrome scoring system were used to assess the bowel symptoms of patients. TLUS was used to evaluate anatomical defects. P value <0.05 was considered statistically significant, and confidence intervals were set at 95%. 279 patients were included into this study. The prevalence rate of OD was 43%, and the average value of ODS score was 6.67. 17% patients presented straining at stool, 33% presented incomplete emptying, 13% presented digitations, and 12% required laxatives or enema. The prevalence rate of true rectocele was 23%. Defecation symptoms were significantly correlated with age, levator-ani hiatus, levator-ani muscle injury and true rectocele. Logistic regression showed that true rectocele and increased levator-ani hiatus were independent risk factors of OD. True rectocele was significantly correlated with straining at stool, digitation, incomplete emptying and requirement of laxatives or enema.In POP patients, the prevalence rate of true rectocele and OD was 23% and 43%, respectively. True rectocele was related to OD. TLUS was a valuable approach in anatomical evaluation of POP.
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spelling pubmed-71013972020-03-31 The relationship between obstructed defecation and true rectocele in patients with pelvic organ prolapse Tan, Cheng Geng, Jing Tang, Jun Yang, Xin Sci Rep Article We aimed to investigate the prevalence of true rectocele and obstructed defecation (OD) in patients with pelvic organ prolapse (POP), to investigate the correlation between true rectocele and OD, and to understand the diagnostic value of translabial ultrasound (TLUS) in the diagnosis of true rectocele. The patients who scheduled for POP surgery were enrolled in this study. Patients who had previous reconstructive pelvic surgery or repair of rectocele were excluded. Birmingham Bowel and Urinary symptoms questionnaires and Longo’s obstructed defecation syndrome scoring system were used to assess the bowel symptoms of patients. TLUS was used to evaluate anatomical defects. P value <0.05 was considered statistically significant, and confidence intervals were set at 95%. 279 patients were included into this study. The prevalence rate of OD was 43%, and the average value of ODS score was 6.67. 17% patients presented straining at stool, 33% presented incomplete emptying, 13% presented digitations, and 12% required laxatives or enema. The prevalence rate of true rectocele was 23%. Defecation symptoms were significantly correlated with age, levator-ani hiatus, levator-ani muscle injury and true rectocele. Logistic regression showed that true rectocele and increased levator-ani hiatus were independent risk factors of OD. True rectocele was significantly correlated with straining at stool, digitation, incomplete emptying and requirement of laxatives or enema.In POP patients, the prevalence rate of true rectocele and OD was 23% and 43%, respectively. True rectocele was related to OD. TLUS was a valuable approach in anatomical evaluation of POP. Nature Publishing Group UK 2020-03-27 /pmc/articles/PMC7101397/ /pubmed/32221359 http://dx.doi.org/10.1038/s41598-020-62376-2 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Tan, Cheng
Geng, Jing
Tang, Jun
Yang, Xin
The relationship between obstructed defecation and true rectocele in patients with pelvic organ prolapse
title The relationship between obstructed defecation and true rectocele in patients with pelvic organ prolapse
title_full The relationship between obstructed defecation and true rectocele in patients with pelvic organ prolapse
title_fullStr The relationship between obstructed defecation and true rectocele in patients with pelvic organ prolapse
title_full_unstemmed The relationship between obstructed defecation and true rectocele in patients with pelvic organ prolapse
title_short The relationship between obstructed defecation and true rectocele in patients with pelvic organ prolapse
title_sort relationship between obstructed defecation and true rectocele in patients with pelvic organ prolapse
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7101397/
https://www.ncbi.nlm.nih.gov/pubmed/32221359
http://dx.doi.org/10.1038/s41598-020-62376-2
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