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Management of Associated Pelvic Dysfunctions: External Rectal Prolapse and Genital Prolapse

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Rectal Prolapse

Abstract

Genital prolapse, or pelvic organ prolapse (POP), is an emerging problem among women over the age of 65 and is a common disorder in Western countries [1]. Besides age, well-established risk factors include race, genetic predisposition, pregnancy, parity, obstetric trauma, menopause and previous gynaecological surgery. Among these variables, Caucasian women have a higher odds ratio (1.0) than do African Americans (0.6) [2].

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References

  1. Azpuru CE (1974) Total rectal prolapse and total genital prolapse: a series of 17 cases. Dis Colon Rectum 17:528–531

    Article  PubMed  CAS  Google Scholar 

  2. Hendrix SL (2002) Urinary incontinence and menopause: an evidence-based treatment approach. Dis Mon 48:622

    Article  PubMed  Google Scholar 

  3. Jacobs KL, Lin YJ, Orkin BA (1997) The best operation for rectal prolapse. Surg Clin North Am 77:49–70

    Article  PubMed  CAS  Google Scholar 

  4. Amico JC, Marino AW Jr (1968) Prolapse of the vagina in association with rectal procidentia. Dis Colon Rectum 11(2):115–119

    Article  PubMed  CAS  Google Scholar 

  5. Tancer ML, Fleischer M, Berkowitz BJ (1987) Simultaneous colpo-recto-sacropexy. Obstet Gynecol 70(6):951–954

    PubMed  CAS  Google Scholar 

  6. Rinne KM, Kirkinen PP (1999) What predisposes young women to genital prolapse. Eur J Obstet Gynecol Reprod Biol 84:23–25

    Article  PubMed  CAS  Google Scholar 

  7. Swift SE, Pound T, Dias JK (2001) Case-control study of etiologic factors in the development of severe pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 12:187–192

    Article  PubMed  CAS  Google Scholar 

  8. Kupfer CA, Goligher JC (1970) One hundred consecutive cases of complete prolapse of the rectum treated by operation. Br J Surg 57:482–487

    Article  PubMed  CAS  Google Scholar 

  9. Peters WA 3rd, Smith MR, Drescher CW (2001) Rectal prolapse in women with other defects of pelvic floor support. Am J Obstet Gynecol 184:1488–1494

    Article  PubMed  Google Scholar 

  10. MacLennan AH, Taylor AW, Wilson DH, Wilson D (2000) The prevalence of pelvic floor disorders and their relationship to gender, age, parity and mode of delivery. Br J Obstet Gynaecol 107:1460–1470

    CAS  Google Scholar 

  11. Snooke SJ, Swash M, Henry MM, Serchell M (1985) Risk factors in childbirth causing damage to the pelvic floor innervation. Br J Surg 72:S15–17

    Article  Google Scholar 

  12. Altman D, Zetterstrom J, Schultz I et al (2005) Pelvic organ prolapse and urinary incontinence in women with surgically managed rectal prolapse: a population-based case-control study. Dis Colon Rectum 49:28–35

    Article  Google Scholar 

  13. Ryan P (1980) Observations upon the etiology and treatment of complete rectal prolapse. ANZ J Surg 50:109–115

    Article  CAS  Google Scholar 

  14. Watts JD, Rothemberger DA, Bulls JG et al (1985) The management of procidentia. 30 years’ experience. Dic Colon Rectum 28:96–102

    Article  CAS  Google Scholar 

  15. Altemeier WA, Culbertson WR, Schowegerdt C, Hunt J (1970) Nineteen years’ experience with the one-stage perineal repair of rectal prolapse. Ann Surg 173(6):993–1006

    Article  Google Scholar 

  16. Goligher J (1984) The skeptical chirurgeon. Ann R Coll Surg Engl 66(3):207–210

    PubMed  CAS  Google Scholar 

  17. Baden WF, Walker T (1972) Genesis of the vaginal profile: a correlated classification of vaginal relaxation. Clin Obstet Gynecol 15(4):1048–1054

    Article  PubMed  CAS  Google Scholar 

  18. Bump RC, Mattiasson A, Bo K et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175(1):10–17

    Article  PubMed  CAS  Google Scholar 

  19. Neill ME, Parks AG, Swash M (1981) Physiological studies of the anal sphincter musculature in faecal incontinence and rectal prolapse. Br J Surg 68(8):531–536

    Article  PubMed  CAS  Google Scholar 

  20. Osterberg A, Graf W, Edebol Eeg-Olofsson K et al (2000) Results of neurophysiologic evaluation in fecal incontinence. Dis Colon Rectum 43(9):1256–1261

    Article  PubMed  CAS  Google Scholar 

  21. Porges RF, Smilen SW (1994) Long-term analysis of the surgical management of pelvic support defect. Am J Obstet Gynecol 171:1518–1528

    PubMed  CAS  Google Scholar 

  22. Macer GA (1978) Transabdominal repair of cystocele, a 20 years experience, compared with the traditional vaginal approach. Am J Obstet Gynecol 131:203–207

    PubMed  CAS  Google Scholar 

  23. Morley GW, DeLancey JOL (1988) Sacrospinous ligament fixation for eversion of the vagina. Am J Obstet Gynecol 158:872–881

    PubMed  CAS  Google Scholar 

  24. Holley RL, Varner RE, Gleason et al (1995): recurrent pelvic support defects after sacrospinous ligament fixation for vaginal vault prolapse. J Amer Coll Surg 180:444–448

    CAS  Google Scholar 

  25. Raz S, Klutke CG, Golomb J (1989) Four-corner bladder and urethral suspension for moderate cystocele. J Urol 142(3):712–715

    PubMed  CAS  Google Scholar 

  26. Miyazaki FS, Miyazaki DW (1994) Raz four-corner suspension for severe cystocele: Poor results. Int Urol J 5:94–97

    Google Scholar 

  27. Richardson AC, Edmonds PB, Williams NL (1981) Treatment of stress urinary incontinence due to paravaginal defect. Obstet Gynecol 57(3):357–362

    PubMed  CAS  Google Scholar 

  28. Benson JT (1992) Female pelvic floor disorders. WW Norton, New York, pp 280–294

    Google Scholar 

  29. Birch C (2005) The use of prosthetics in pelvic reconstructive surgery. Best Practice and Research Clin Obstet Gynaecol 19(1):979–991

    Article  Google Scholar 

  30. Farrell SA, Dempsey T, Geldenhuys L (2001) Histologic examination of “fascia” used in colporrhaphy. Obstet Gynecol 98:794–79

    Article  PubMed  CAS  Google Scholar 

  31. Flood CG, Drutz HP, Waja L (1988) Anterior colporrhaphy reinforced with Marlex mesh for the treatment of systoles. Int Urogynecol J Pelvic Floor Dysfunct 9(4):200–204

    Article  Google Scholar 

  32. Migliari R, Usai E (1999) Treatment results using a mixed fiber mesh in patients with grade IV cystocele. J Urol 161(4):1255–1258

    Article  PubMed  CAS  Google Scholar 

  33. Cervigni M, Natale F, Conti Puorger C et al (1998) Cistopessi con protesi “tension-free”: esperienze preliminari. Acta Urol Ital XII(Suppl):120–12

    Google Scholar 

  34. De Tayrac R, Fernandez H (2002) Surgical repair of cystocele with mesh by the vaginal route. Am J Obstet Gynecol 186(4):852–853

    PubMed  Google Scholar 

  35. Bader G, Fauconnier A, Roger N (2004) Cystocele repair by vaginal approach with a tension-free trasversal polypropylene mesh. Technique and results. Gynecol Obstet Fertil 32(4):280–284

    Article  PubMed  CAS  Google Scholar 

  36. Husaunndee M, Rousseau E, Deleflie M et al (2003) Surgical treatment of genital prolapse with a new lateral prosthetic hysteropexia technique combining vaginal and laparoscopic methods. J Gynecol Obstet Biol Reprod (Paris) 32(4):314–320

    CAS  Google Scholar 

  37. Delorme E (2001) Transobturator urethral suspension: mini invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11(6):1306–1313

    PubMed  CAS  Google Scholar 

  38. Deval B, Ferchaux J, Berry R et al (2006) Objective and subjective cure rates after trans-obturator tape (Obtape) treatment of female urinary incontinence. Eur Urol 49(2):373–377

    Article  PubMed  Google Scholar 

  39. Wang AC, Lin YH, Tseng LH et al (2005) Prospective randomized comparison of transobturator suburethral sling (Monarc) vs. suprapubic arc (Sparc) sling procedures for female urodynamic stress incontinence. Int Urogynecol J Pelvic Floor Dynsfunct 3:1–5

    Google Scholar 

  40. Davila GW, Johnson JD, Serels S (2005) Multicenter experience with the Monarc transobturator sling system to treat stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 29:1–6

    Google Scholar 

  41. De Tayrac R, Gervaise A, Fernandez H (2002) Cure de cystocèle voie basse par protese sous-vesicale libre. J Gynecol Obstet Biol Reprod 31:597–599

    Google Scholar 

  42. Von Theobald P, Labbè E (2003) La triple opèration pèrinèale avec prothèse. J Gynecol Obstet Biol Reprod 32:562–570

    Google Scholar 

  43. Yan A, Anne M, Karine A et al (2004) Cystocele repair by a synthetic vaginal mesh secured anteriorly through the obturator foramen. Eur J Obstet Gynecol Reprod Biol 115(1):90–94

    Article  PubMed  Google Scholar 

  44. Bader G, Fauconnier A, Roger N (2004) Cystocele repair by vaginal approach with a tension-free transversal polypropylene mesh. Technique and results. Gynecol Obstet Fertil 32:280–284

    Article  PubMed  CAS  Google Scholar 

  45. Nichols DH (1972) Types of enterocele and principles underlying choice of operation for repair. Obstet Gynecol 40:257–263

    PubMed  CAS  Google Scholar 

  46. Barham K, Collopy BT (1993) Posthysterectomy rectal and vaginal prolapse, a common overlooked problem. Aust NZJ Obstet Gynaecol 33(3):300–303

    Article  CAS  Google Scholar 

  47. Zhioua F, Ferckiou M, Pira JM et al (1993) Uterine fixation to the promontory and the Orr-Loygue operation in associated genital and rectal prolapse. Rev Fr Gynecol Obstet 88(4):277–281

    PubMed  CAS  Google Scholar 

  48. Dekel A, Rabinerson D, Rafael ZB, Kaplan B at al (2000) Concurrent genital and rectal prolapse: two pathologies — one joint operation. BJOG 107(1): 125–129

    Article  PubMed  CAS  Google Scholar 

  49. Ayav A, Bresler L, Brunaud L et al (2005) Surgical management of combined rectal and genital prolapse in young patients: transabdominal approach. Int J Colorectal Dis 20(2):173–179

    Article  PubMed  CAS  Google Scholar 

  50. Meeks JR, Harris RL (1997) Surgical approach to hysterectomy: abdominal, laparoscopic-assisted or vaginal. Clin Obstet Gynecol 40:886–894

    Article  PubMed  CAS  Google Scholar 

  51. Ueo H, Takeuchi H, Aringa S et al (1994) The feasibility of epidural anaesthesia without endotracheal intubation for abdominal surgery on patients over 80 years of age. Int Surg 79:158–162

    PubMed  CAS  Google Scholar 

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Cervigni, M., Natale, F., Padoa, A. (2008). Management of Associated Pelvic Dysfunctions: External Rectal Prolapse and Genital Prolapse. In: Altomare, D.F., Pucciani, F. (eds) Rectal Prolapse. Springer, Milano. https://doi.org/10.1007/978-88-470-0684-3_25

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  • DOI: https://doi.org/10.1007/978-88-470-0684-3_25

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0683-6

  • Online ISBN: 978-88-470-0684-3

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