METHODS: Pelvic Floor Distress Inventory (PFDI-20) results and POP-Q exams from 1,663 urogynecology patients were compiled in a database. Rectocele was defined as POP-Q point Bp > -0.5 and perineocele as pb >3. PFDI-20 questions were used to compare defecatory symptoms and bother in women with and without rectocele and perineocele.
RESULTS: While perineocele was not associated with symptoms or bother, women with isolated rectoceles had higher rates of splinting (p < 0.001) and incomplete evacuation (p = 0.001) and higher bother scores (p < 0.001) than those with neither rectocele nor perineocele.
CONCLUSIONS: The POP-Q Bp point, but not the pb measurement, correlates with symptoms of defecatory dysfunction.
Collins SA, O'Sullivan DM, Lasala CA. Are you the author?
Department of Obstetrics and Gynecology, Division of Urogynecology, Hartford Hospital, Hartford, CT, USA.
Reference: Int Urogynecol J. 2012 Jan 17. Epub ahead of print.