Search Our Scientific Publications & Authors

Neurourol Urodyn 2022 Jun 22. Epub 2022 Jun 22.

Department of Gynaecology, St Vincent's Hospital, Darlinghurst, Sydney, New South Wales, Australia.

Aim: The mid-vagina (MV) represents Level II of the vagina. The surgical anatomy of the MV has not been recently subject to a comprehensive examination and description. MV surgery involving anterior and posterior colporrhaphy represents a key part of surgery for a majority of pelvic organ prolapse (POP). Read More

Sao Paulo Med J 2022 Jun 6. Epub 2022 Jun 6.

MD. Physician, Department of Gynecology and Obstetrics, Özel Bağlar Hastanesi, Diyarbakır, Turkey.

Background: Apical prolapsus refers to downward displacement of the vaginal apex, uterus or cervix. Pelvic organ prolapse (POP) can significantly affect women's daily activities and sexuality.

Objective: To investigate, at the mid-term follow-up after laparoscopic pectopexy surgery, whether this procedure improved the patients' quality of life and sexual function. Read More

Niger J Clin Pract 2022 May;25(5):597-604

Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakır, Turkey.

Background: Treatment of total genital prolapse in elderly patients is still controversial in terms of postoperative objective and subjective results.

Aim: The present study aimed to compare the long-term objective and subjective cure rates of sacrospinous ligament fixation and Le Fort operation for treatment of total genital prolapse.

Patients And Methods: Patients over the age of 60 with stage 3 or 4 pelvic organ prolapse that presented to the Obstetrics and Gynaecology Clinic of the Faculty of Medicine of *** University. Read More

Cureus 2022 Apr 15;14(4):e24168. Epub 2022 Apr 15.

General, Colorectal, and Minimal Access Surgery, All India Institute of Medical Sciences Gorakhpur, Gorakhpur, IND.

Pelvic Organ Prolapse (POP) is defined as the descent of one or more of the pelvic organs from their normal position. This is commonly associated with multiparity, postmenopausal status, and obesity. Most of the cases present as uterine descent with or without cystocele, rectocele, or enterocele. Read More

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2022 May 13. Epub 2022 May 13.

2nd Medical Clinic, Department of Internal Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania.

Aims: The aim of this retrospective study was to try to find correlations between different diagnoses established by clinical examination, anorectal manometry and MRI-defecography and, the association with psychiatric disorders.

Methods: 44 patients (median age 53.81 years) presenting with intestinal motility disorders and who underwent clinical, biological and psychiatric examination, dynamic defecographic-MRI (resting, squeezing, straining, defecation and evacuation phases), anorectal manometry, colonoscopy. Read More

J Anus Rectum Colon 2022 27;6(2):83-91. Epub 2022 Apr 27.

Department of Coloproctological Surgery, Tsujinaka Hospital Kashiwanoha, Kashiwa, Japan.

Pelvic organ prolapse (POP) is a condition wherein one or more of the organs in the pelvis slip down from their original position and protrude into the vagina. Pelvic organ prolapse surgery has increased in the urogynecological field due to higher aging society. POP patients often suffer from bowel dysfunction, such as difficulty of bowel movements and the need to strain or push on the vagina to have a bowel movement. Read More

Radiography (Lond) 2022 May 12;28(3):628-633. Epub 2022 May 12.

Department of Radiology, Alfred Health, Melbourne, VIC, Australia.

Objectives: To provide an illustrative description of the technique and spectrum of findings in defecating proctography.

Key Findings: Important findings on defecating proctography include rectocoele, enterocoele, sigmoidocoele, cystocoele, intussusception, rectal prolapse, descending perineum, incomplete emptying, anismus, and faecal incontinence. This review article illustrates these key findings with examples. Read More

Pol J Radiol 2022 20;87:e181-e185. Epub 2022 Mar 20.

Ankara University Faculty of Medicine, Ankara, Turkey.

Dyssynergic defecation (DD) is defined as paradoxical contraction or inadequate relaxation of the pelvic floor muscles during defecation, which causes functional constipation. Along with the anal manometry and balloon expulsion tests, magnetic resonance (MR) defecography is widely used to diagnose or rule out pelvic dyssynergia. Besides the functional abnormality, structural pathologies like rectocele, rectal intussusception, or rectal prolapse accompanying DD can also be well demonstrated by MR defecography. Read More

Contrast Media Mol Imaging 2022 10;2022:2219330. Epub 2022 Apr 10.

Department of General Surgery, The Second Affiliated Hospital of Nanjing Medical University, Nanjing 210000, China.

The main aim of this study was to explore the role of defecography in the preoperative diagnosis and postoperative evaluation of rectal prolapse surgery (modified Wells procedure). We collected and summarized the X-ray performance and then analyzed the results of 107 patients with defecatory dysfunction who underwent defecography from January 2020 to March 2021. Furthermore, the preoperative and 6-month postoperative defecography results and clinical symptoms of 25 patients who underwent rectal prolapse surgery (modified Wells procedure) were compared. Read More

Mymensingh Med J 2022 Apr;31(2):355-359

Dr Md Touhidul Islam, Assistant Professor (Colorectal Surgery), Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:

Obstructed defecation syndrome (ODS) is a common anorectal problem and it can be corrected by various surgical approaches but most of these have high recurrence and complication rates. Antonio Longo introduced Stapled transanal rectal resection (STARR) in 2003 as a minimally invasive transanal operation for correction ODS associated with rectocele and or rectal intussusception. This study was designed to assess the short term outcome of Stapled Transanal Rectal Resection (STARR) as a surgical treatment of Obstructed Defecation Syndrome (ODS). Read More

Obstet Gynecol Sci 2022 May 25;65(3):273-278. Epub 2022 Mar 25.

Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, Korea.

Objective: This study aimed to evaluate the current surgical techniques for anterior and posterior vaginal wall prolapse repair in South Korea.

Methods: A web-based questionnaire survey was sent to 780 members of the Korean Society of Obstetrics and Gynecology. The items assessed in the questionnaire were the demographic characteristics and current surgical techniques used for the correction of anterior and posterior vaginal wall prolapse. Read More

Dis Colon Rectum 2022 Apr;65(4):552-558

Department of Vincent Obstetrics, Gynecology and Reproductive Biology, Division of Female Pelvic Medicine and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

Background: Constipation is highly prevalent. Women with constipation are evaluated for the presence of vaginal prolapse that may contribute to obstructed defecation syndrome. Defecography can identify anatomic causes of obstructed defecation syndrome (rectocele, intussusception, and enterocele). Read More

J Obstet Gynaecol 2022 Mar 8:1-5. Epub 2022 Mar 8.

Department of Obstetrics and Gynaecology, University of the West Indies, Kingston, Jamaica.

POP affected 40% of participants in the WHI trial. Risk factors include parity, vaginal delivery, large babies, advancing age, obesity, hysterectomy and lifting. Data suggest African-American women have a lower prevalence of symptomatic POP than other racial groups. Read More

Neurogastroenterol Motil 2022 Mar 5:e14343. Epub 2022 Mar 5.

Guy's and St Thomas NHS Foundation Trust, London, UK.

Background: Conservative measures are first-line treatment for a "symptomatic" rectocoele, while surgery to correct the anatomical defect may be considered in selected cases. The standard repair offered in our trust is a native tissue transvaginal rectocoele repair (TVRR) combined with levatorplasty. The primary aim of the study was to conduct a retrospective study to assess the outcome of this procedure, while secondary aims were to assess whether specific characteristics and symptoms were associated with response to surgery. Read More

Front Surg 2022 14;9:790287. Epub 2022 Feb 14.

Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.

Obstructed defecation syndrome (ODS) is a form of constipation that influences the quality of life in most patients and is an important health care issue. In 2004 Longo introduced a minimal invasive trans-anal approach known as Stapled Trans-Anal Rectal Resection (STARR) in order to correct mechanical disorders such as rectocele or rectal intussusception, two conditions present in more than 90% of patients with ODS. Considering the lack of a common view around ODS and STARR procedure. Read More

Int Urogynecol J 2022 Feb 24. Epub 2022 Feb 24.

Department of Abdominal, Pediatric and Reconstructive Surgery, Antwerp University Hospital, Drie Eikenstraat 566, 2650, Edegem, Belgium.

Introduction And Hypothesis: Women with a symptomatic rectocele may undergo different trajectories depending on the specialty consulted. This survey aims to evaluate potential differences between colorectal surgeons and gynecologists concerning the management of a rectocele.

Methods: A web-based survey was sent to abdominal surgeons (CS group) and gynecologists (G group) asking about their perceived definition, diagnostic workup, multidisciplinary discussion (MDT) and surgical treatment of rectoceles. Read More

Gastroenterol Clin North Am 2022 03 7;51(1):55-69. Epub 2022 Jan 7.

Division of Gastroenterology/Hepatology, Medical College of Georgia, Augusta University, Augusta, GA, USA.

Constipated patients are frequently referred to gastroenterologists for symptoms refractory to lifestyle modifications and laxatives. Dyssynergic defecation, the dyscoordination of rectoanal, abdominal, and pelvic floor muscles to facilitate defecation, is a major cause of refractory primary constipation. Understanding of the diagnosis, evaluation, and management of dyssynergic defecation and other evacuation disorders will allow providers to effectively manage these patients. Read More

World J Clin Cases 2022 Jan;10(3):891-898

Department of Surgery, Wishaw University Hospital, Wishaw ML2 0DP, Lanarkshire, United Kingdom.

Background: Laparoscopic ventral mesh rectopexy (LVMR) continues to be a popular treatment option for rectal prolapse, obstructive defecation/faecal incontinence and rectoceles. In recent years there have been concerns regarding the safety of mesh placements in the pelvis.

Aim: To assess the safety of the mesh and the outcome of the procedure. Read More

Colorectal Dis 2022 Jun 17;24(6):747-753. Epub 2022 Feb 17.

Department of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland.

Aim: The aim of this work was to study the technical success and diagnostic capability of magnetic resonance defaecography (MRD) compared with video defaecography (VD).

Method: Sixty four women with defaecation disorders underwent both MRD and x-ray VD over 1 year. The assessment by two radiologists in consensus was retrospective and blinded. Read More

J Gynecol Obstet Hum Reprod 2022 Apr 29;51(4):102327. Epub 2022 Jan 29.

Aix Marseille University (AMU), AP-HM, Hôpital de la Conception, Marseille, France. Electronic address:

Objectives: To evaluate anatomical and functional results at one year of midline rectovaginal fascial plication (MFP) for rectocele.

Material And Methods: Single-center observational study performed in a gynecologic-obstetrics department of a university hospital. Inclusion criteria were patients with isolated or associated rectocele treated by MFP. Read More

Pan Afr Med J 2021 24;40:181. Epub 2021 Nov 24.

Department of Pathology, Gyeongsang National University Changwon Hospital, Changwon, Korea.

Ectopic adrenal gland in the ovary is very rare case, and even more rarer in older women. We reported a case of ectopic adrenal tissue as an incidental finding in left ovary from a 68-year-old woman. She presented with bearing down sensation due to uterine prolapse for 5 years. Read More

Aust N Z J Obstet Gynaecol 2022 Jun 20;62(3):420-425. Epub 2022 Jan 20.

University of Sydney, Sydney, NSW, Australia.

Background: Pregnancy and childbirth are thought to be the strongest environmental risk factors for pelvic organ prolapse, but prolapse does occur in nulliparae.

Aim: To characterise prolapse in vaginal nulliparae.

Material And Methods: This was a retrospective study using archived clinical and imaging data of 368 vaginally nulliparous women seen between 2006 and 2017 at two tertiary urogynaecological centres. Read More

Cell Mol Biol (Noisy-le-grand) 2021 Nov 25;67(3):163-167. Epub 2021 Nov 25.

Department of Anorectal Surgery, Tangshan Gongren Hospital, Tangshan, Hebei 063000, China.

Constipation of anorectal outlet obstruction may be caused by mechanical or functional causes. This complication is a debilitating disease that needs proper and timely treatment. Many studies have shown that there is a direct link between constipation and intestinal cancer. Read More

Ann Coloproctol 2021 Nov 29. Epub 2021 Nov 29.

Coloproctology Unit, Department of General Surgery, Hospital Dr. Domingo Luciani, Caracas, Venezuela.

Gastroenterol Rep (Oxf) 2021 Oct 29;9(5):461-469. Epub 2021 May 29.

Department of Proctology, Longhua Hospital affiliated to Shanghai University of TCM, Shanghai, P. R. China.

Background: Transperineal ultrasonography has been used as a diagnostic imaging modality for rectocele for many years. However, the consistency of ultrasonography and defecography in evaluating the severity of rectocele was not satisfactory. This study aimed to evaluate the agreement in the measurement of rectocele parameters between the two methods in different positions and provide clinical implications for the diagnosis of rectocele. Read More

Arq Gastroenterol 2021 Jul-Sep;58(3):302-307

Departamento de Cirurgia Colorretal, Unidade de Assoalho Pélvico e Fisiologia Anorretal, Cascavel Gastroclínica, Paraná, PR, Brasil.

Background: Few studies have investigated the constipation or obstructed defecation symptoms identified by using imaging, as dynamic three-dimensional ultrasound and correlate vaginal delivery, parity, and age.

Objective: The aim of this study was to assess the prevalence of pelvic floor dysfunctions in female patients with obstructed defection symptoms and to determine whether specific pelvic floor dysfunctions identified by dynamic three-dimensional ultrasonography (echodefecography) are correlated with vaginal delivery, parity, and age. The secondary goal is to report the prevalence of coexisting pelvic floor dysfunctions. Read More

Ther Umsch 2021 ;78(9):522-527

Radiologie, Stadtspital und Landspitäler, Universitätsinstitut für Diagnostische, Interventionelle und Pädiatrische Radiologie (DIPR).

MR Imaging Diagnostics in Proctology MR imaging is excellent for 1) the staging of rectal cancer 2) the assessment of chronic inflammatory bowel disease and 3) the performance of defecography. 1) MRI accuracy for the classification of the T- and N-stage is 75 - 95 % and 71 - 85 %, respectively. An infiltration of the mesorectal fat is easily detectable. Read More

Gynecol Obstet Invest 2021 22;86(5):454-459. Epub 2021 Oct 22.

Department of Colon and Rectal Surgery, Weill Cornell Medicine, New York-Presbyterian Brooklyn Methodist Hospital, New York, New York, USA.

Objectives: Rectocele is common in female patients. To date, there is no literature comparing outcomes of rectocele repairs in combination with other perineal surgeries. We aim to analyze perioperative morbidity and mortality as well as long-term outcome of rectocele repair in combination with other perineal surgeries (RR combination) and compare this with solo rectocele repair (solo RR). Read More

Ann Coloproctol 2021 Oct 19. Epub 2021 Oct 19.

Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.

Purpose: Rectocele can be associated with both obstructed defecation and fecal incontinence. There exists a great variety of operative techniques to treat patients with rectocele. The purpose of this study was to evaluate the clinical outcome in a consecutive series of patients who underwent transperineal repair of rectocele when presenting with fecal incontinence as the predominant symptom. Read More

Tech Coloproctol 2021 Dec 11;25(12):1281-1289. Epub 2021 Oct 11.

Department of Gastroenterological Surgery, Kameda Medical Center, Kamogawa, Chiba, Japan.

Background: The aim of this study was to assess the long-term annual functional results and quality of life (QOL) after laparoscopic ventral rectopexy (LVR) for rectoanal intussusception (RAI) and/or rectocele.

Methods: This study was a retrospective analysis of prospectively collected data. The study was conducted on patients who underwent LVR for RAI and/or rectocele at our institution between February 2012 and July 2015. Read More