Abstract
The aim of this study is to assess the contribution of dynamic cystocolpoproctography for the evaluation of female pelvic organ prolapse. Perineal hernia was classified levator hernia, urogenital hernia and anorectal hernia, and urogenital hernia was divided to anterior peritoneal hernia and genital hernia. Anorectal hiatus hernia was divided to internal rectal prolapse, complete rectal prolapse and massive rectal prolapse. The cystocolpoproctography was retrospectively analyzed in 46 consecutive patients. Sigmoidecele classified as levator hernia was detected in 4.5% of the patients, postvaginal hernia in 19.7%, cystocele in 3.0%, complete rectal prolapse in 53.0%, massive rectal prolapse in 10.6%, and incomplete rectal prolapse in 4.5% of the patients on cystocolpoproctography.
Perineal hernia can include a combination of cystocele, rectocele, uterine prolapse, enterocele and rectal proplapse. Accurate diagnosis of the coexisting abnormalities is essential in planning reconstructive procedures so that the risks of recurrence and reoperation can be minimized.
In conclusion, dynamic cystocolpoproctography provides direct visualization and quantification of female pelvic organ prolapse, and information that usually can only be inferred by physical examination.
