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Techniques in Coloproctology
Published in: Techniques in Coloproctology 4/2009

01-12-2009 | Invited Comment

The elephant’s other bits

Author: Hans Peter Dietz

Published in: Techniques in Coloproctology | Issue 4/2009

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Excerpt

In this issue of the journal Dr. Murad-Regadas et al. present a retrospective analysis of 255 women who had undergone defecography for constipation according to the Rome Criteria [1]. This is a very interesting paper that tackles a subject with substantial implications for the aetiology of conditions that we know rather little about. There is no doubt that research into the potential aetiological contribution of childbirth should have a high priority, since there is such widespread disagreement regarding the definitions of rectocele and rectal intussusception, and since we are far from achieving consensus on treatment. …
Literature
1.
Murad-Regadas S, Peterson TV, Pinto RA et al (2009) Defecographic pelvic floor abnormalities in constipated patients: does mode of delivery matter? Tech Coloproctol 13. doi:10.​1007/​s10151-009-0533-z
2.
Bremmer S, Uden R, Mellgren A (1997) Defaeco-peritoneography in the diagnosis of rectal intussusception and rectal prolapse. Acta Radiol 38:578–583CrossRefPubMed
3.
Dietz H, Clarke B (2005) The prevalence of rectocele in young nulliparous women. Aust NZ J Obstet Gynaecol 45:391–394CrossRef
4.
Dietz HP, Steensma AB (2006) The role of childbirth in the aetiology of rectocele. Br J Obstet Gynaecol 113:264–267
5.
Shek K, Dietz H (2009) The effect of childbirth on hiatal dimensions: a prospective observational study. Obstet Gynecol 113:1272–1278PubMed
6.
Abdool Z, Shek K, Dietz H (2009) The effect of levator avulsion on hiatal dimensions and function. Am J Obstet Gynecol 201:89.e1–e5
7.
Dietz H, Lanzarone V (2005) Levator trauma after vaginal delivery. Obstet Gynecol 106:707–712PubMed
8.
Dietz HP, Steensma AB (2005) Posterior compartment prolapse on two-dimensional and three-dimensional pelvic floor ultrasound: the distinction between true rectocele, perineal hypermobility and enterocele. Ultrasound Obstet Gynecol 26:73–77CrossRefPubMed
9.
Perniola G, Shek K, Chong C, Chew S, Cartmill J, Dietz H (2008) Defecation proctography and translabial ultrasound in the investigation of defecatory disorders. Ultrasound Obstet Gynecol 31:567–571CrossRefPubMed
10.
Beer-Gabel M, Teshler M, Barzilai N et al (2002) Dynamic transperineal ultrasound in the diagnosis of pelvic floor disorders: pilot study. Dis Colon Rectum 45:239–245CrossRefPubMed
11.
Beer-Gabel M, Teshler M, Schechtman E, Zbar AP (2004) Dynamic transperineal ultrasound vs. defecography in patients with evacuatory difficulty: a pilot study. Int J Colorectal Dis 19:60–67CrossRefPubMed
12.
Piloni V (2001) Dynamic imaging of pelvic floor with transperineal sonography. Tech Coloproctol 5:103–105CrossRefPubMed
13.
Grischke EM, Dietz HP, Jeanty P, Schmidt W (1986) A new study method: the perineal scan in obstetrics and gynecology (in German). Ultraschall Med 7:154–161CrossRefPubMed
14.
Kohorn EI, Scioscia AL, Jeanty P, Hobbins JC (1986) Ultrasound cystourethrography by perineal scanning for the assessment of female stress urinary incontinence. Obstet Gynecol 68:269–272PubMed
15.
Creighton SM, Pearce JM, Stanton SL (1992) Perineal video-ultrasonography in the assessment of vaginal prolapse: early observations. Br J Obstet Gynaecol 99:310–313PubMed
16.
Dietz HP, Haylen BT, Broome J (2001) Ultrasound in the quantification of female pelvic organ prolapse. Ultrasound Obstet Gynecol 18:511–514CrossRefPubMed
17.
Dietz H (2006) The role of childbirth in the aetiology of rectocele: authors’ reply. Br J Obstet Gynaecol 113:850
18.
19.
DeLancey J, Morgan D, Fenner D et al (2007) Comparison of levator ani muscle defects and function in women with and without pelvic organ prolapse. Obstet Gynecol 109:295–302PubMed
20.
Dietz H, Simpson J (2008) Levator trauma is associated with pelvic organ prolapse. Br J Obstet Gynaecol 115:979–984
Metadata
Title
The elephant’s other bits
Author
Hans Peter Dietz
Publication date
01-12-2009
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 4/2009
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-009-0540-0

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Defecographic pelvic floor abnormalities in constipated patients: does mode of delivery matter?