Khảo sát sự tương quan giữa sa trực tràng dạng túi với các bệnh lý sàn chậu thường gặp khác

Investigation of the relationship between rectocele and other pelvic floor disorders

SUMMARY

Background - Objectives: Pelvic floor dysfunction and prolapse are common condition of women past the middle age, with nonspecific clinical symptoms. Many cases of rectocele occurs combine with other pelvic floor disorders. Failure to recognize the complex set of pelvic floor defects leads to most therapy failures. The aim of this study is order to evaluate the correlations between age, number of birth and rectocele, and to define the role of dynamic magnetic resonance defecography in diagnosis.

Methods: Cross-study description. Patients with pelvic floor dysfunction had done clinical examinations and they were indicated dynamic MR Defecography at University Medical Center, HCM City by urologist or gynecologist and proctologist.

Results: MR Defecography of 1683 patients was evaluated from 01/2008 to 6/2012. Most patients are about 40 to 50 years old with 2 to 3 parity. 1218 patients with incontinence; 1311 patients (77.9%) has rectocele. Prolapse of the posterior compartment is the most common type of prolapse. Rectocele combines with more than one pelvic organ prolapse 77.4%; 64.2% of the patients with anismus had rectocele. There are statistically significant in the correlation of age, the number of birth with rectocele or pelvic organ prolapse (OR # 1.04-2.67 and p<0.005). Risk of rectocele was higher in the patients with pelvic organ prolapse than in the patients without pelvic organ prolapse (p<0.005).

Conclusions: Complex pelvic floor disorders often involve several compartments. Dynamic MR Defecography allows evaluating the both morphological and functional assessment of the pelvic floor, selecting the most appropriate treatment.