Rektozele

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• 作者：Prof. Dr. O. Schwandner
• 关键词：SchlüsselwörterRektozele ; Stuhlentleerungsstörung ; Rektozelenkorrektur ; Rektopexie ; STARR
• 刊名：coloproctology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：39
• 期：1
• 页码：67-80
• 全文大小：
• 刊物主题：Proctology; Colorectal Surgery; Dermatology; Urology; Abdominal Surgery; Oncology;
• 出版者：Springer Medizin
• ISSN：1615-6730
• 卷排序：39

文摘

Anterior rectocele is a common morphological condition in patients with obstructive defecation syndrome. Typical symptoms include incomplete evacuation, transanal or transvaginal digitation and soiling, which is frequently interpreted as fecal incontinence. Diagnosis of rectocele is made clinically and functional assessment of rectocele can be performed by dynamic imaging, e.g. by magnetic resonance (MR) defecography. Primary treatment should be conservative. Concerning surgical treatment, transanal, transperineal, transvaginal and transabdominal procedures are available. Evidence-based guidelines for surgical treatment are still lacking. The question whether rectocele is a cause or a consequence of obstructive defecation syndrome remains controversial. Accordingly, indications for surgical correction of rectocele should be considered with caution.