Abstract
PURPOSE: To assess, in one single procedure, a complete study of the female pelvis, including the Douglas pouch. METHODS: Colpocystodefecography (CCD) combines vaginal opacification, voiding cystography, and defecography. Three hundred examinations are reviewed. RESULTS: Thanks to the simultaneous visualization of the pelvic structures, CCD proved to be more useful than clinical evaluation to diagnose prolapses and particularly Douglas pouch hernias (enteroceles), the clinical diagnosis of which was missed in 93 of 111 cases. Moreover, in addition to morphologic and functional information, CCD brings about a new insight in the study of pelvic organs reciprocal influences, should they be positive (supporting function) or negative (external compression). Finally, significative pelvic surgery and particularly hysterectomy enhances greatly the risk of enteroceles. CONCLUSION: CCD is helpful in the preoperative staging, especially in the selection of the surgical procedure that will least likely predispose to possible late postoperative complications such as vaginal prolapses or enteroceles.
Similar content being viewed by others
References
Zafiropulo M, Juras J, Bourcier A, Scali P. Le colpo cystogramme. In: Utilisation actuelle des explorations instrumentales en gynécologie (Sein exclu). Masson, 1983:374–84.
Olesen KP. Descent of the female urinary bladder. Dan Med Bull 1983;30:66–84.
Mahieu P, Pringot J, Bodart P. Defecography: I. Description of a new procedure and results in normal patients. Gastrointest Radiol 1984;9:247–51.
Mahieu PH. Defecographie, explorations fonctionnelles. Ann Gastroenterol Hepatol 1990;26:161–5.
Uhlig BE, Sullivan ES. The modified Delorme operation. Dis Colon Rectum 1979;22:513–21.
Finlay IG. Symposium, proctography. Int J Colorectal Dis 1988;3:67–89.
Author information
Authors and Affiliations
About this article
Cite this article
Hock, D., Lombard, R., Jehaes, C. et al. Colpocystodefecography. Dis Colon Rectum 36, 1015–1021 (1993). https://doi.org/10.1007/BF02047292
Issue Date:
DOI: https://doi.org/10.1007/BF02047292