Guzman-Negron Juan M, Fascelli Michele, Vasavada Sandip P
Glickman Urological and Kidney Institute, Lerner College of Medicine, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Glickman Urological and Kidney Institute, Lerner College of Medicine, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Urol Clin North Am. 2019 Feb;46(1):79-85. doi: 10.1016/j.ucl.2018.08.007.
Pelvic organ prolapse is common in parous women, although few report symptoms. The incidence of posterior compartment prolapse, or rectocele, is less well-reported. Posterior vaginal wall prolapse is associated with pain, constipation, and splinting. Surgery is the mainstay of therapy for symptomatic rectoceles. Though several surgical techniques have been described, no clear indications for type of repair have emerged. This article reviews the management strategies and draws conclusions about suture-based and site-specific techniques.
盆腔器官脱垂在经产妇中很常见，尽管很少有人报告有症状。后盆腔脱垂或直肠膨出的发病率报道较少。阴道后壁脱垂与疼痛、便秘和屏气有关。手术是有症状的直肠膨出的主要治疗方法。虽然已经描述了几种手术技术，但对于修复类型尚无明确的指征。本文回顾了管理策略，并对基于缝合和特定部位的技术得出结论。
