Printer Friendly

Properly rebuilt perineal body is critical element of prolapse repair: vaginal reconstructive surgery.

ST. LOUIS -- Proper reconstruction of the perineal body is a key component of successful vaginal prolapse repair, so a clear understanding of its anatomy is imperative, Dr. Robert M. Rogers Jr. said at the 13th International Pelvic Reconstructive and Vaginal Surgery Conference.

Think of the perineal body as a pyramid, with the base almost parallel to the floor between the vaginal introitus and the anus, and with the apex--approximately 3-4 cm high--found at the junction of the lower to middle third of the vagina where it angles and becomes almost horizontal.

Reconstruction based on this definition will help in recreating the proper orientation and axis of the vagina, and will provide good support to the vagina. It will also provide for proper positioning of the anus, said Dr. Rogers of Reading Hospital and Medical Center, West Reading, Pa.

"Most women with prolapse have prolapse of the anal canal and the anus," he said, explaining that the anus should actually be positioned 1-2 cm above the level of the ischial tuberosity.

Normal anatomy can be recreated by properly reconstructing the perineal body, attaching the top of the rectovaginal septum to it, and pulling it up into the pelvis. This gives the vagina support much like the levator plate, and brings the anus where it belongs, he said at the meeting, which was sponsored by the Society of Pelvic Reconstructive Surgeons and Emory University.
COPYRIGHT 2003 International Medical News Group
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2003 Gale, Cengage Learning. All rights reserved.

Article Details
Printer friendly Cite/link Email Feedback
Title Annotation:Gynecology
Author:Worcester, Sharon
Publication:OB GYN News
Date:Nov 15, 2003
Previous Article:Bone anchors boost safety of ab sacrocolpopexy: series of 11 cases.
Next Article:Educate moms on breast-feeding preterm infants: promotional strategies.

Related Articles
Pelvic organ woes all too common.
Posterior Colporrhaphy Bests Transanal Repair.
Transverse, Transperineal Repair Deserves a Second Chance.
Lateral Flaps Can Repair Severe Vaginal Prolapse.
Levatoroplasty adds to result of prolapse surgery. (Reduced Recurrence Rate).
Birth defects, reconstructive surgery: childhood surgical history illuminates pelvic problems.
Laparoscopic pelvic reconstructive surgery: Part 1.
Part 2: laparoscopic enterocele repair and vaginal vault suspension.
Surgeons respond to pelvic reconstruction column.
Pelvic organ prolapse & ending the epidemic of unnecessary hysterectomies.

Terms of use | Privacy policy | Copyright © 2019 Farlex, Inc. | Feedback | For webmasters