title: Perineal hernia in women : assessment with evacuation fluoroscopic cystocolpoproctography.
abstract: The aim of this study is to assess the usefulness of fluoroscopic cystocolpoproctography in the treatment of female pelvic organ prolapse. The presence or absence of rectocele, enterocele, sigmoidocele, and the cystocele on cystocolpoproctography was retrospectively analyzed in 46 consecutive patients. A rectocele was detected in 4.5% of the patients, postvaginal hernia in 19.7%, cystocele in 3.0%, complete rectal prolapse in 53.0%, massive rectal prolapse in 10.6%, and incomplete rectal prolapse in 4.5% of the patients on cystocolpoproctography. Perineal hernia can include a combination of cystocele, rectocele, uterine prolapse, enterocele and rectal prolapse. Accurate diagnosis of the coexisting abnormalities is essential in planning reconstructive procedures so that the risks of recurrence and reoperation can be minimized. Fluoroscopic cystocolpoproctography provides direct visualization and quantification of female pelvic organ prolapse, information that usually can only be inferred by physical examination.
authors.affiliation: Kurume Coloproctology Center, Kurume, Japan. Yasumi_7891@yahoo.co.jp
authors.forename: Yasumi
authors.initials: Y
authors.lastname: Araki
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Noake
authors.forename: Takaaki
authors.initials: T
authors.lastname: Nagae
authors.forename: Yuji
authors.initials: Y
authors.lastname: Tou
authors.forename: Motonori
authors.initials: M
authors.lastname: Nakagawa
authors.forename: Yasue
authors.initials: Y
authors.lastname: Iwatani
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ozasa
authors.forename: Kazuo
authors.initials: K
authors.lastname: Shirouzu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003127:Colposcopy / Q000379:methods*; D005260:Female; D006547:Hernia / Q000175:diagnosis*; D006801:Humans; D008875:Middle Aged; D010502:Perineum / Q000473:pathology*; D011391:Prolapse