ArticleInternational urogynecology journal2016
The prevalence of abnormal posterior compartment anatomy and its association with obstructed defecation symptoms in urogynecological patients.
Article in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Anatomical and functional outcomes of combined ventral rectopexy and sacrocolpo/hysteropexy for multicompartment pelvic organ prolapse: a systematic review and meta-analysis.Techniques in coloproctology · 2025Pooled it
- Imaging modalities for the detection of posterior pelvic floor disorders in women with obstructed defaecation syndrome.The Cochrane database of systematic reviews · 2021Pooled it
- The BioSynIRS trial: biologic versus synthetic mesh for multicompartment pelvic floor reconstruction.Techniques in coloproctology · 2026Trial
- Trial
- Laparoscopic and robotic ventral rectopexy for posterior compartment disorders: a multicentric study in a gynecological setting.Techniques in coloproctology · 2026Observational
- Improvement in functional and mental outcomes after resection rectopexy for obstructive defecation syndrome ODS.Scientific reports · 2025Observational
- Long-Term Outcomes of Transvaginal Sacrospinous Ligament Suture Rectopexy.International urogynecology journal · 2025Article
- Short-Term Complications Following Transvaginal Sacrospinous Ligament Rectopexy: A Retrospective Cohort Study.International urogynecology journal · 2025Article
- Laparoscopic resection rectopexy (RRP) combined with mesh sacrocolpopexy (SCP) for obstructed defecation syndrome with pelvic organ prolapse in an interdisciplinary approach.Facts, views & vision in ObGyn · 2024Article
- Rectocele: Incidental or important? Observe or operate? Contemporary diagnosis and management in the multidisciplinary era.Neurogastroenterology and motility · 2022Review
- Abdominal pressure and pelvic organ prolapse: is there an association?International urogynecology journal · 2022Article
- International Urogynecology Consultation Chapter 1 Committee 5: relationship of pelvic organ prolapse to associated pelvic floor dysfunction symptoms: lower urinary tract, bowel, sexual dysfunction and abdominopelvic pain.International urogynecology journal · 2021Article
- Is perineal hypermobility an independent predictor of obstructive defecation?International urogynecology journal · 2021Article
- International Urogynecological Consultation: clinical definition of pelvic organ prolapse.International urogynecology journal · 2021Review
- Does the presence of a true radiological rectocele increase the likelihood of symptoms of prolapse?International urogynecology journal · 2021Article
- Rectal-vaginal pressure gradient in patients with pelvic organ prolapse and symptomatic rectocele.BMC women's health · 2021Article
- Persistent levator co-activation is not associated with symptoms or bother of obstructed defecation.International urogynecology journal · 2020Article
- Laparoscopic sacrocolpopexy plus ventral rectopexy as combined treatment for multicompartment pelvic organ prolapse.Techniques in coloproctology · 2020Article
- AIUM/IUGA practice parameter for the performance of Urogynecological ultrasound examinations : Developed in collaboration with the ACR, the AUGS, the AUA, and the SRU.International urogynecology journal · 2019Article
- Long-term subjective, clinical and sonographic outcomes after native-tissue and mesh-augmented posterior colporrhaphy.International urogynecology journal · 2019Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisSymptoms of obstructive defecation (OD) are common in women. Transperineal ultrasound (TPUS) has been used for the evaluation of defecatory disorders. The aim of our study was to determine the overall prevalence of anatomical abnormalities of the posterior compartment and their correlations with OD in women seen in a tertiary urogynecology clinic.
methodsThis is a retrospective study on 750 women seen at a tertiary urogynecological unit who had undergone a standardized interview, clinical examination, and 4D TPUS. Univariate and multivariate logistic regression analyses were undertaken to study the association between examination findings and symptoms of OD. This study was approved by the local human research ethics committee (Nepean Blue Mountains Local Health District Human Research Ethics Committee, IRB approval no. 13-16).
resultsThe datasets of 719 women were analyzed. Mean age was 56.1 (18.4-87.6) years. Ninety-seven patients (13 %) reported fecal incontinence, 190 (26 %) constipation, and 461 (64 %) symptoms of OD. On examination, 405 women (56 %) were diagnosed with significant posterior compartment prolapse (POP-Q ≥ stage 2), which was associated with symptoms of OD (p < 0.0001). On ultrasound, 103 (14 %) patients had an enterocele, 382 (53 %) a true rectocele and 31 (4.3 %) had rectal intussusception. On multivariate analysis true rectocele (p = 0.003) and rectal intussusception (p = 0.004) remained significantly associated with symptoms of OD.
conclusionBoth symptoms of OD and anatomical abnormalities of the posterior compartment are highly prevalent in urogynecological patients. Ultrasound findings of a true rectocele and rectal intussusception are significantly associated with obstructed defecation.
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