Digital rectal examination in the evaluation of rectovaginal septal defects

Digital rectal examination in the evaluation of rectovaginal septal defects Int Urogynecol J (2017) 28:1401–1405 DOI 10.1007/s00192-017-3285-8 ORIGINAL ARTICLE Digital rectal examination in the evaluation of rectovaginal septal defects 1 2 3 4 Suneetha Rachaneni & Ixora Kamisan Atan & Ka Lai Shek & Hans Peter Dietz Received: 15 November 2016 /Accepted: 25 January 2017 /Published online: 17 February 2017 The International Urogynecological Association 2017 Abstract relationship between rectocele pocket depth and the detection Introduction and hypothesis The objective was to evaluate the of rectocele on palpation. diagnostic potential of digital rectal examination in the iden- Conclusion Moderate agreement was found between digital tification of a true rectocele. rectal examination for rectocele and translabial ultrasound Methods This is a retrospective observational study utilising findings of a Btrue rectocele^. Digital rectal examination 187 archived data sets of women presenting with lower uri- may be used to identify these defects in clinical practice. nary tract symptoms and/or pelvic organ prolapse between Extending the clinical examination of prolapse to include rec- August 2012 and November 2013. Evaluation included a tal examination to palpate defects in the rectovaginal septum standardised interview, ICS-POPQ, rectal examination and may reduce the need for defecatory proctograms for the as- 4D translabial ultrasound. The main outcome measure was International Urogynecology Journal Springer Journals

Digital rectal examination in the evaluation of rectovaginal septal defects

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Springer London
Copyright © 2017 by The International Urogynecological Association
Medicine & Public Health; Gynecology; Urology
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