[Surgical treatment of rectocele and enterocele: an integrated view of disorders of the posterior vaginal compartment].
Genital prolapse, whether associated or not with urinary, anal or sexual dysfunction, should be evaluated globally to select the appropriate treatment. Rectocele and enterocele are defects of the posterior vaginal compartment, although they can be secondary to abnormalities of the central compartment, since lesions of the perineal raphe and rectovaginal septum can occur in isolation or accompanied by others that also affect the tissues involved in pelvic support. The various surgical approaches to rectocele alone or associated with other defects are reviewed. Likewise, the distinct pathogenic types of enterocele are discussed. Laparoscopic sacrocolpoperineopexy is a promising intervention for the simultaneous correction of defects of the posterior and central compartments. New and better designed studies are required to evaluate the distinct surgical approaches and interventions for genital prolapse.
Servicio de Cirugía General y Digestiva, Hospital de Donostia, Paseo Dr. Beguiristain s/n, 20014 San Sebastián, Guipúzcoa, Spain. enavascu@chdo.osakidetza.net
José María
JM
Enríquez-Navascués
José Luis
JL
Elósegui
Francisco
F
Apeztegui
Carlos
C
Placer
José Andrés
JA
Múgica
José Ignacio
JI
Goena
Loren
L
Aguirrezabaldegui
D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D059685:Herniorrhaphy; D006801:Humans; D020047:Rectocele / Q000601:surgery*; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina