Search Our Scientific Publications & Authors

World J Gastrointest Surg 2021 May;13(5):443-451

Department of Anorectal Disease, Shenyang Coloproctology Hospital, Shenyang 110000, Liaoning Province, China.

Background: The most common causes of outlet obstructive constipation (OOC) are rectocele and internal rectal prolapse. The surgical methods for OOC are diverse and difficult, and the postoperative complications and recurrence rate are high, which results in both physical and mental pain in patients. With the continuous deepening of the surgeon's concept of minimally invasive surgery and continuous in-depth research on the mechanism of OOC, the treatment concepts and surgical methods are continuously improved. Read More

Tech Coloproctol 2021 07 28;25(7):879-886. Epub 2021 May 28.

Department of Colorectal Surgery, S. Rita Clinic, Vercelli, Italy.

There are many surgical treatments aimed at correcting internal mucosal prolapse and rectocele associated with obstructed defecation syndrome (ODS). Perineal procedures can be considered as first options in young men in whom an abdominal approach poses risks of sexual dysfunction and in selected women with isolated posterior compartment prolapse who failed conservative treatment. About 20 years ago, we described endorectal proctopexy (ERPP) also known as internal Delorme procedure. Read More

J Obstet Gynaecol Can 2021 May 10. Epub 2021 May 10.

Mount Sinai Hospital, 700 University Avenue, 8-816 Toronto, Ontario, M5G 1Z5. Electronic address:

Objective: The incidence of post-hysterectomy vault prolapse following native tissue repair has been reported to be as high as 43%. The optimal way to maintain vault support is unknown. Our aim was to evaluate the long-term efficacy of modified McCall culdoplasty during vaginal hysterectomy for symptomatic uterine prolapse in preventing the recurrence of vaginal vault prolapse. Read More

J Anus Rectum Colon 2021 28;5(2):137-143. Epub 2021 Apr 28.

Department of Surgery, Fujita Health University School of Medicine, Toyoake, Japan.

Objectives: To clarify the long-term outcomes of transvaginal anterior levatorplasty with posterior colporrhaphy for symptomatic rectocele with defecographic changes.

Methods: Consecutive patients undergoing transvaginal anterior levatorplasty with posterior colporrhaphy for symptomatic rectocele were prospectively registered and retrospectively reviewed using medical records. Symptoms, fecal incontinence, and defecographic findings were evaluated before and after surgery. Read More

BMC Womens Health 2021 04 20;21(1):165. Epub 2021 Apr 20.

Department of Obstetrics and Gyencology, Peking University People's Hospital, No. 11 of Xizhimen south Street, Xicheng District, Beijing, 100048, China.

Objective: The aim of this study is to examine the relationship between rectal-vaginal pressure and symptomatic rectocele in patients with pelvic organ prolapse (POP).

Method: Patients with posterior vaginal prolapse staged III or IV in accordance with the POP Quantitation classification method who were scheduled for pelvic floor reconstructive surgery in the years 2016-2019 were included in the study. Rectocele was diagnosed using translabial ultrasound, and obstructed defecation (OD) was diagnosed in accordance with the Roma IV diagnostic criteria. Read More

Dis Colon Rectum 2021 Apr 5. Epub 2021 Apr 5.

Centre for Neuroscience, Surgery and Trauma, and GI Physiology Unit, Barts and the London School of Medicine & Dentistry, Queen Mary University London, London, UK Tertiary Referral Pelvic Floor and Incontinence Centre, Regional Hospital Treviso, University of Padua, Italy Department of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland Statistics Division, The George Institute for Global Health, University of New South Wales, Sydney, Australia Centre for Medical Imaging, University College London, London, UK.

Background: Barium defecography can assess structural and functional abnormalities in patients with chronic constipation.

Objective: To determine the prevalence of individual and overlapping defecographic findings in this setting.

Design: Cross-sectional. Read More

Colorectal Dis 2021 Apr 3. Epub 2021 Apr 3.

Department of Colorectal Surgery, University Clinic Hospital of Valencia, Valencia, Spain.

Colorectal Dis 2021 Apr 1. Epub 2021 Apr 1.

Colorectal Unit, Department of General and Digestive Surgery, Arnau de Vilanova Hospital, Valencia, Spain.

Front Cell Infect Microbiol 2021 12;11:616218. Epub 2021 Mar 12.

Institute of Comparative Medicine, College of Veterinary Medicine, Yangzhou University, Yangzhou, China.

It has been well documented that cytolethal distending toxin (CDT) from (), () and other Gram-negative intestinal pathogens is linked to the inflammatory bowel disease (IBD). However, the mechanisms underlying the progression of induced colitis remains unclear. In this study, male B6. Read More

Tech Coloproctol 2021 Mar 20. Epub 2021 Mar 20.

Proctology Unit and Pelvic Floor Unit, Division of Digestive Surgery, Department of Surgery, Geneva University Hospitals and Medical School, 4 rue Gabrielle-Perret-Gentil, 1211, Geneva, Switzerland.

Background: Puborectalis muscle rupture usually arises from peri-partum perineal trauma and may result in anterior, middle compartment prolapses, posterior compartment prolapse which includes rectocele and rectal prolapse, with or without associated anal sphincter damage. Patients with puborectalis muscle and levator ani rupture may present some form of incontinence or evacuation disorder, sexual dysfunction or pelvic organ descent. However, the literature on this subject is scarce. Read More

Int Urogynecol J 2021 Jun 11;32(6):1399-1407. Epub 2021 Mar 11.

Department of Obstetrics and Gynecology, University of Michigan, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA.

Introduction And Hypothesis: The objective was to identify structural failure sites in rectocele by comparing women with and those without posterior vaginal wall prolapse and accessing their relative contribution to rectocele size based on stress MRI-based measurements.

Methods: We studied three-dimensional stress MRI at maximal Valsalva of 25 women with (cases) and 25 without (controls) posterior vaginal prolapse of similar age and parity. Vaginal wall factors (posterior wall length and width); attachment factors (paravaginal posterior wall location, posterior fornix height, and perineal height); and hiatal factors (hiatal size and levator ani defects) were measured using Slicer 4. Read More

Int Urogynecol J 2021 Feb 26. Epub 2021 Feb 26.

University of Sydney, 62 Derby St., Penrith, 2751, NSW, Australia.

Introduction And Hypothesis: Symptoms of obstructed defecation (OD) and anatomical abnormalities of the posterior compartment are prevalent in urogynecological patients. The aim of this study was to determine whether perineal hypermobility is an independent predictor of OD, as is the case for rectocele, enterocele and rectal intussusception.

Methods: This is a retrospective study of 2447 women attending a tertiary urodynamic center between September 2011 and December 2016. Read More

Spine Surg Relat Res 2021 18;5(1):46-48. Epub 2020 Jun 18.

Department of Neurosurgery, University Hospital Centre Amiens-Picardie, Amiens, France.

Pan Afr Med J 2020 29;37:196. Epub 2020 Oct 29.

Department of Gynaecology and Obstetrics, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.

The aim of the study was to describe the epidemiological, clinical and therapeutical profile of genital prolapse in the gynecology and obstetrics service of Saint Joseph Hospital of Kinshasa. This is a descriptive study carried out from medical files of patients who have suffered from genital prolapse in the gynecology and obstetrics service of Saint Joseph Hospital from January 1, 2008 to December 31, 2017. It is based on the no probabilistic sampling of suitability. Read More

J Visc Surg 2021 04 22;158(2):145-157. Epub 2021 Jan 22.

Department of digestive and general surgery, Aix Marseille university, Timone hospital, Assistance publique-Hopitaux de Marseille (AP-HM), 13354 Marseille, France.

Rectocele is defined as a hernia of the rectum with protrusion of the anterior rectal wall through the posterior wall of the vagina. This condition occurs commonly, with an estimated prevalence of 30-50% of women over age 50. The symptomatology that leads to consultation is variable but consists predominantly of anorectal and/or gynecological complaints such as dyschezia, requiring digital disimpaction maneuvers, pelvic heaviness, anal incontinence, or dyspareunia. Read More

J Med Life 2020 Oct-Dec;13(4):554-561

Department of Obstetrics and Gynecology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

There are several techniques for repairing prolapse in the posterior vaginal compartment, yet there is no general agreement on the best surgical procedure. This study was performed to investigate the outcomes of the common vaginal route technique for posterior vaginal wall prolapse repair in the first Iranian fellowship teaching center for female pelvic floor disorders. This prospective cohort study was performed on women with posterior vaginal wall prolapse with or without prolapse of other vaginal compartments who underwent surgery between 2014 and 2018 in a referral center for female pelvic floor disorders. Read More

Ann Coloproctol 2021 Jan 12. Epub 2021 Jan 12.

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

Purpose: External rectal prolapse (ERP) is frequently associated with other pelvic disorders, such as enterocele, rectocele, and perineal descent. Evacuation proctography makes it possible to visualize the development of such anatomical abnormalities. The aim of this study was to identify the variables that would predict associated abnormalities in patients with ERP. Read More

Gastroenterol Rep (Oxf) 2020 Dec 4;8(6):457-464. Epub 2020 Jul 4.

Department of Colorectal Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

Background: Obstructed defecation syndrome (ODS) is a condition that is frequently caused by rectocele and rectal intussusception. This study aimed to evaluate the effectiveness of a modified Bresler procedure for the treatment of ODS. The outcomes of this modified procedure were compared with the stapled transanal rectal resection (STARR) procedure. Read More

Khirurgiia (Mosk) 2021 (1):55-61

Sechenov First Moscow State Medical University, Moscow, Russia.

Objective: To develop the optimized complex programs, including general magnetotherapy, fractional microablative therapy with a CO2 laser, electromyostimulation with biofeedback of the pelvic floor muscles, and a special exercise therapy complex in late rehabilitation programs for women of different age after reconstructive plastic surgery for rectocele.

Material And Methods: There were 200 women of childbearing, peri- and menopausal age with rectocele grade II-III and 20 healthy women of comparable age. All patients were divided into 4 groups by 50 womes: main group, two comparison groups and control group. Read More

Updates Surg 2021 Jun 2;73(3):1115-1124. Epub 2021 Jan 2.

Department of Gynecology and Obstetrics, Santa Chiara University Hospital, Pisa, Italy.

Robot-assisted surgery is safe and effective to treat the complex pelvic organs prolapse (C-POP). The present study analyzes all the robotic procedures and their advantages in the treatment of C-POP performed in a Proctologic and Pelvic Floor Clinical Centre. All the patients affected by C-POP who had robot-assisted surgery were retrospective analyzed. Read More

Urology 2021 Mar 5;149:263. Epub 2021 Jan 5.

Department of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.

Objective: To show an original technique of a new combined vaginal-laparoscopic lateral suspension in Hysteropexy with cistocele and rectocele. In recent years, changes in attitudes toward sexuality, psychological value of reproductive organs and the desire to preserve fertility have led to a growing interest in uterine-preserving surgery for Pelvic Organ prolapse. Minimally invasive procedures derived from sacrocolpopexy are considered the gold standard in the treatment of apical Pelvic Organ prolapse. Read More

J Obstet Gynaecol Can 2021 May 15;43(5):601-602. Epub 2020 Dec 15.

Division of Urogynecology, Department of Obstetrics and Gynecology, Walter Reed National Medical Center, Bethesda, MD, USA.

This video shows the surgical excision of a 20-cm peritoneal inclusion cyst with laparoscopic repair of pelvic floor defects caused by the mass effect of the cyst. A 44-year-old woman presented with bulge symptoms and a reducible posterior prolapse extending 4 cm beyond the introitus inconsistent with an enterocele/rectocele. Dynamic MRI revealed a 20-cm cystic mass surrounding the uterine fundus extending down the posterior wall of the vagina, anterior to the rectum. Read More

Colorectal Dis 2021 Apr 30;23(4):923-931. Epub 2020 Dec 30.

Colorectal Surgery Unit, General Surgery Department, Mansoura University Hospitals, Mansoura University, Mansoura City, Egypt.

Aim: Anterior rectocele is usually an asymptomatic condition in many women, yet it can be associated with obstructed defaecation syndrome (ODS). Transperineal repair of rectocele (TPR) has been followed by variable rates of improvement in ODS. The present pilot randomized clinical trial aimed to evaluate the outcome of TPR with vertical plication (VP) of the rectovaginal septum compared to horizontal plication (HP). Read More

Khirurgiia (Mosk) 2020 (12):76-82

Sechenov First Moscow State Medical University, Moscow, Russia.

Objective: To study the effect of general magnetotherapy, muscle stimulation with biofeedback of pelvic floor muscles, and a special complex of physiotherapy exercises with and without fractional microablative CO-laser therapy on sexual status in females after plastic surgery for rectocele.

Material And Methods: There were 200 fertile females and women of perimenopausal and menopausal age with rectocele grade II-III. Various rehabilitation programs were used in delayed postoperative period in order to improve sexual function. Read More

Surg Innov 2020 Nov 30:1553350620975616. Epub 2020 Nov 30.

Department of Obstetrics and Gynaecology, Pelvic Floor Disease Diagnosis and Treatment Center, Shengjing Hospital of China Medical University, China.

. The objective is to determine the possible improvement in outlet obstructive constipation symptoms after vaginal stent treatment for rectocele. . Read More

Clin Physiol Funct Imaging 2021 Mar 7;41(2):173-180. Epub 2020 Dec 7.

Department of Diagnostic and Interventional Radiology, University Hospital Frankfurt, Frankfurt, Germany.

Objectives: To determine the differences and challenging aspects of dynamic magnetic resonance defecography (MRD) compared to conventional defecography (CD) in diagnostic of clinical symptomatic pelvic floor dysfunction.

Methods: Fifty patients (44 females, 6 males; mean age: 57 years) with symptomatic pelvic floor dysfunction underwent both examinations, CD and MRD. Results were retrospectively intra-individual and interindividual evaluated in this multicentre study. Read More

Khirurgiia (Mosk) 2020 (11):79-85

Federal State Autonomous Educational Institution of Higher Education named after I.M. Sechenov of the Ministry of Health of Russia (Sechenov University), Moscow, Russia.

The article presents data on the treatment of 200 women of childbearing, peri - and menopausal age with rectocele of II-III degree, which were divided into 4 groups comparable in clinical and functional characteristics: 1-50 patients who, after surgical treatment of rectocele, underwent a complex consisting of a course of General magnetic therapy, 2 intra-vascular procedures of fractional microablative CO laser therapy, electromyostimulation with the pelvic floor muscles and a special complex of therapeutic physical education; comparison 1, which included 50 patients who underwent the above-mentioned complex of rehabilitation measures without General magnetotherapy; comparison of 2-50 patients after surgical treatment of rectocele, who in the late postoperative period (one month after the operation) underwent a set of rehabilitation measures, including a course of electromyostimulation with the biological connection of the pelvic floor muscles, consisting of 10 daily procedures and a special complex of physical therapy and a control group - 50 patients after surgical treatment of rectocele, who in the late postoperative period were treated with symptomatic therapy, including painkillers and antispasmodics, which served as a background for all other groups. As a result of the research, it was found that the developed rehabilitation complexes have a pronounced myostimulating effect, and can be recommended for wide use in rehabilitation programs for postoperative management of patients with rectocele. Read More

Int Urogynecol J 2020 Nov 16. Epub 2020 Nov 16.

University of Sydney, Penrith, Australia.

Introduction And Hypothesis: Posterior compartment prolapse is commonly due to a 'true' rectocele, i.e., a diverticulum of the rectal ampulla. Read More

Int Urogynecol J 2021 Jan;32(1):233

Center for Urogynecology and Pelvic Reconstructive Surgery, Cleveland Clinic, 9500 Euclid Ave, Desk A81, Cleveland, OH, 44195, USA.