Zhioua F, Ferchiou M, Pira J M, Jedoui A, Meriah S
Service de Gynécologie-Obstétrique et de Reproduction humaine, hôpital Aziza Othmana, Tunis, Tunisie.
Rev Fr Gynecol Obstet. 1993 Apr;88(4):277-81.
The association of genital prolapse and rectal prolapse is rare. The authors report six cases of simultaneous mixed prolapse treated surgically via an abdominal approach. The latter technique enables the treatment of genital prolapse by uterine fixation to the promontory and rectal prolapse by rectopexy using the Orr-Loygue technique. Chronic constipation and obstetric trauma are constantly found among etiological factors. Four of our patients had urinary stress incontinence. There were no preoperative complications. One patient reported worsening of her constipation. Mean follow-up is only 20 months (2 months to 3 years), but no recurrences have occurred. Review of the literature and of series with more than fifteen years follow-up shows that the Orr-Loygue operation is reliable with a low complication rate and only rare recurrences.
生殖器脱垂与直肠脱垂同时存在的情况较为罕见。作者报告了6例经腹部手术治疗的同时性混合脱垂病例。后一种技术可通过将子宫固定于骶岬来治疗生殖器脱垂，并采用奥尔-洛伊格技术进行直肠固定术治疗直肠脱垂。慢性便秘和产科创伤一直是病因因素。我们的4例患者存在压力性尿失禁。术前无并发症。1例患者报告便秘加重。平均随访时间仅20个月（2个月至3年），但未发生复发。对文献及随访超过15年的系列研究进行回顾表明，奥尔-洛伊格手术可靠，并发症发生率低，复发罕见。
