Pelvic organprolapse associated with rectalprolapse in women: a comparison of dynamic CT and fluoroscopic cystocolpoproctography: OP40


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Abstract

Aim:This study compared the effectiveness of dynamic CT with fluoroscopic cystocolpoproctography (CCP) for the detection and measurement ofprolapse in the pelvic organs of female patients with complete rectalprolapse.Method:Ninety patients with complete rectalprolapse underwent CCP in the sitting position and dynamic CT in the lateral decubitus position with identical amounts of contrast material to opacify the bladder, vagina, small intestine and rectum. Findings were analyzed to determine thepresence or absence of rectalprolapse, rectocele, enterocele, sigmoidocele, uterineprolapse and cystocele.Results:Pelvic organprolapse was found in 42.3% of 97 women with complete rectalprolapse, rectocele in 14.6%, enterocele in 56.1%, uterineprolapse in 2% and sigmoidcele in 9.8%. Theprevalence of rectalprolapse was 79.4% on CCP and 55.6% on CT; rectocele 66.7% on CCP and 33.3% on CT; enterocele 91.3% on CCP and 23.1% on CT; cystocele 64.3% on CCP and 85.7% on CT; and uterineprolapse was 50% on CCP and 100% on CT.Conclusion:Both CCP and dynamic CT are recommended as the examination technique of choice for the functional and morphologic diagnosis of pelvic organsprolapse in treatment for female patients with complete rectalprolapse.

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