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Clinical manifestations, diagnosis, and nonsurgical management of posterior vaginal defects

Authors
Amy J Park, MD
Tristi W Muir, MD
Marie Fidela R Paraiso, MD, FACOG
Section Editor
Linda Brubaker, MD, FACS, FACOG
Deputy Editor
Kristen Eckler, MD, FACOG

INTRODUCTION

Pelvic organ prolapse (POP) includes defects of the anterior, apical, and posterior vaginal wall. Defects of pelvic support often do not occur in isolation. As an example, one series of 384 women undergoing surgical repair of POP reported the following types and frequencies of defects: anterior compartment only (40 percent), posterior compartment only (7 percent), apex only (6 percent), anterior and posterior compartments (16 percent), anterior compartment and apex (9 percent), posterior compartment and apex (5 percent), and all three compartments (18 percent) [1].

Posterior vaginal defects may be associated with:

Rectocele (anterior protrusion of the rectum)

Sigmoidocele (protrusion of the sigmoid colon)

Enterocele (protrusion of the small bowel)

                            

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Literature review current through: Nov 2016. | This topic last updated: Tue Sep 08 00:00:00 GMT+00:00 2015.
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