Female pelvic organ prolapse: diagnostic contribution of dynamic cystoproctography and comparison with physical examination.
- 1 July 1999
- journal article
- research article
- Published by American Roentgen Ray Society in American Journal of Roentgenology
- Vol. 173 (1) , 31-37
- https://doi.org/10.2214/ajr.173.1.10397095
Abstract
The aim of this study was to assess the contribution of dynamic cystoproctography to the evaluation of female pelvic organ prolapse and to compare this contribution with that of physical examination.The presence or absence of rectocele, enterocele, sigmoidocele, and cystocele on physical examination and on cystoproctography was retrospectively analyzed in 170 consecutive patients. For each of these diagnostic methods, organ prolapse was graded as small, moderate, or large on the basis of specific, defined measurements.A rectocele was detected by proctography in 155 patients (91%); 119 (77%) of these rectoceles were also found on physical examination. Barium trapping at proctography was related to rectocele size. Proctography showed an enterocele in 47 patients (28%); 24 (51%) of these enteroceles were also found on physical examination. Physical examination also found 44 enteroceles that could not be corroborated radiologically. At proctography, the enteroceles were relatively large, extending an average ...Keywords
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