Pelvic Prolapse: Diagnosing and Treating Cystoceles, Rectoceles, and Enteroceles

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Disclosures

Medscape General Medicine. 1998;1(3) 

In This Article

Conclusion

The successful treatment of cystoceles requires an evaluation for both lateral and central defects, as inadequate treatment of either defect will lead to recurrences. The treatment of rectoceles is more controversial. Although most clinicians would certainly repair symptomatic rectoceles, the necessity of treating asymptomatic rectoceles is not clear. We generally do not repair asymptomatic rectoceles, as there is little documented benefit; also, postoperative dyspareunia, regardless of the incidence, is difficult to justify. Small asymptomatic enteroceles in elderly patients can sometimes be treated conservatively using a pessary; however, most patients will require surgical intervention.

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