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Tables in Original article by CLAUDIO MORANDI - BEATRICE BREVEGLIERI - CLAUDIO MORATTI - LUCA VERGANTI - PIETRO TORRICELLI

Role of enterocele in obstructed defecation syndrome: proposal of a new radiological and surgical classification

 

Department of Radiology, University of Modena and Reggio Emilia, Italy

(Table 1)

 

TOTAL

FEMALE

MALE

STARR ( STAPLED TRANSANAL RECTAL RESECTION)

17

15

2

WELLS’ RECTOPEXY  

2

1

1

DELORME’S PROCEDURE

1

1

-

ORR-LOYGUE’S RECTOPEXY + SIGMOID RESECTION

3

3

-

ZACHARIN’S RECTOPEXY + SIGMOID RESECTION

1

1

-

BLOCK RECTOCOELE REPAIR

1

1

-

TOTAL COLECTOMY FOR SLOW TRANSIT CONSTIPATION

1

1

-

Table 1. - Previous surgical procedures for obstructed defecation syndrome.


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(Table. 2 )

 

CONTROL GROUP
NO EVIDENCE OF ENTEROCOELE

FUNCTIONAL ENTEROCOELE

SIGMOIDOCOELE

SYMPTOMATIC NON OBSTRUCTIVE ENTEROCOELE

SYMPTOMATIC OBSTRUCTIVE ENTEROCOELE

N.

424 (76.95%)

38 (6.9%)

24 (4.35%)

38 (6.9%)

27 (4.9%)

 MEAN AGE

51

55

52

57

56

(range 20-79)

(range 27-79)

(range 20-77)

(range 38-73)

(range 25-75)

NUMBER OF PREGNANCIES

1.5 (0-6)

1.4 (0-4)

1.7 (0-5)

1.1 (0-2)

1.8 (0-4)

HYSTERECTOMY

123 (29%)

3 (7.89%)

3 (12.5%)

18 (47.37%)

10 (37.04%)

CYSTOCOELE REPAIR

7 (1.65%)

0

2 (8.33%)

3 (7.89%)

0

HYSTERECTOMY +  CYSTOCOELE REPAIR  

11 (2.59%)

0

5 (20.83%)

3 (7.89%)

4 (14.81%)

Table 2. – Patients with different types of enterocoeles.


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(Table. 3 )

ADDITIONAL FINDINGS TO FUNCTIONAL ENTEROCOELE

RECTAL PROLAPSE

12

31.58%

PELVIC FLOOR DESCENT

4

10.53%

RECTOCOELE

2

5.26%

RECTAL PROLAPSE + PARADOXIC PUBORECTALIS MUSCLE CONTRACTION

5

13.18%

RECTAL PROLAPSE + RECTOCOELE

4

10.53%

EXTERNAL PROLAPSE + PERINEAL DESCENT

2

5.26%

EXTERNAL PROLAPSE + PERINEAL DESCENT + SIGMOIDOCOELE

3

7.89%

PERINEAL DESCENT + RECTOCOELE + SIGMOIDOCOELE

1

2.63%

ADDITIONAL FINDINGS TO SYMPTOMATIC NON OBSTRUCTIVE ENTEROCOELE

RECTAL PROLAPSE

5

13.16%

RECTOCOELE

2

5.26%

PERINEAL DESCENT

9

23.68%

PERINEAL DESCENT + RECTOCOELE

9

23.68%

RECTAL PROLAPSE  + PERINEAL DESCENT + RECTOCOELE

4

10.53%

PERINEAL DESCENT + RECTOCOELE + PARADOXIC PUBORECTALIS MUSCLE CONTRACTION

2

5.26%

RECTAL PROLAPSE + PARADOXIC PUBORECTALIS MUSCLE CONTRACTION + RECTOCOELE

2

5.26%

ADDITIONAL FINDINGS TO SYMPTOMATIC OBSTRUCTIVE ENTEROCOELE

PARADOXIC PUBORECTALIS MUSCLE CONTRACTION

4

14.81%

RECTAL PROLAPSE

2

7.41%

PERINEAL DESCENT

2

7.41%

RECTAL PROLAPSE + RECTOCOELE

4

14.81%

PERINEAL DESCENT + RECTOCOELE

2

7.41%

ADDITIONAL FINDINGS TO SIGMOIDOCOELE

RECTAL PROLAPSE

3

12.50%

RECTAL PROLAPSE + RECTOCOELE

5

20.83%

EXTERNAL PROLAPSE + PERINEAL DESCENT

4

16.67%

RECTAL PROLAPSE + PERINEAL DESCENT + RECTOCOELE

3

12.50%

EXTERNAL PROLAPSE + PERINEAL DESCENT + ENTEROCOELE

2

8.33%

PERINEAL DESCENT + RECTOCOELE + ENTEROCOELE

2

8.33%

Table 3. – Pelvic floor disorders observed with cinedefecography in patients with enterocoele.


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