Àá½Ã¸¸ ±â´Ù·Á ÁÖ¼¼¿ä. ·ÎµùÁßÀÔ´Ï´Ù.
KMID : 1147320220090020042
Journal of Surgical Ultrasound
2022 Volume.9 No. 2 p.42 ~ p.52
Assessing Rectocele Depth and Its Association with Symptoms of Pelvic Floor Disorders Using 2D Transperineal Ultraound
Jeong Hong-Yoon

Lee Jong-Kyun
Abstract
We investigated the clinical features of symptomatic rectoceles, as measured by transperineal ultrasound (TPUS), and evaluated the association between rectocele size and the clinical symptoms of pelvic floor disorders. This was a retrospective study using data obtained at a pelvic floor center between August 2020 and January 2021. A total of 125 patients with defecation disorders, such as constipation and fecal incontinence, were included. The preoperative questionnaire included the Cleveland Clinic Constipation Scoring System (CCCS, Wexner constipation score), Cleveland Clinic Incontinence Score (CCIS, Wexner incontinence score), fecal incontinence severity index (FISI), and fecal incontinence quality of life (FIQOL) scale. The size of the rectocele was measured on 2D-TPUSimages. Patients were assigned to three groups based on rectocele size: no rectocele (<10 mm), ¡Ã10 mm rectocele, and ¡Ã15 mm rectocele. In the study population, 43 participants (34.4%) had no rectocele, 50 (40.0%) had ¡Ã10 mm rectocele, and 32 (25.6%) had ¡Ã15 mm rectocele. With the increase in the size of the rectocele from the no rectocele to ¡Ã15 mm rectocelegroup, the scores for the symptoms of incontinence and constipation increased, and the quality of life worsened. The increase in the scores for the three groups was as follows: CCIS (6.00 ¡¾ 4.95 vs. 8.62 ¡¾ 5.77 vs. 11.08 ¡¾ 5.63, P = 0.004), FIQOL (13.72 ¡¾ 4.19 vs. 13.42 ¡¾ 4.35 vs. 10.38 ¡¾ 3.88, P = 0.006), FISI (18.83 ¡¾ 17.67 vs. 25.15 ¡¾ 17.34 vs. 33.42 ¡¾ 15.49, P = 0.010), and CCCS (7.50 ¡¾ 6.26 vs. 8.65 ¡¾ 5.31 vs. 13.11 ¡¾ 5.90, P = 0.006), respectively. TPUS is a valuable method for the anatomical evaluation of symptomatic rectocele. The larger the size of the symptomatic rectocele measured using TPUS, the more severe were the clinical symptoms.
KEYWORD
Constipation, Fecal incontinence, Pelvic floor disorder, Rectocele, Ultrasound assessment
FullTexts / Linksout information
Listed journal information