Histological features of the rectovaginal septum in elderly women and a proposal for posterior vaginal defect repair

Ichiro Nagata, Gen Murakami, Daisuke Suzuki, Kenichi Furuya, Masayasu Koyama, Aiji Ohtsuka

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

To get support from morphological findings to develop a novel surgical procedure for posterior vaginal defect repair, we histologically examined the rectum-vagina interface tissues obtained from 20 elderly female cadavers. The rectovaginal septum (RVS) was defined here as an elastic fiber-rich plate (EFRP) along the posterior vaginal wall. It lined the posterior surface of the vein-rich zone of the vaginal wall and extended between the bilateral paracolpiums. The septum was more evident in the lower half of the interface than in the upper half. The RVS was often thin and interrupted. Since the RVS was not so clearly demonstrated in the upper vagina histologically, augmentation using some implant is considered to be necessary for the enterocele and high rectocele. Since the thickness and tightness of the RVS vary with the case in the lower vagina, surgical procedures for low rectocele repair should be individualized, including implant-augmentation.

Original languageEnglish
Pages (from-to)863-868
Number of pages6
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume18
Issue number8
DOIs
Publication statusPublished - Aug 2007

Fingerprint

Vagina
Rectocele
Elastic Tissue
Hernia
Cadaver
Rectum
Veins

Keywords

  • Areolar tissue
  • Histology
  • Posterior vaginal defect repair
  • Rectovaginal septum
  • Venous plexus

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynaecology

Cite this

Histological features of the rectovaginal septum in elderly women and a proposal for posterior vaginal defect repair. / Nagata, Ichiro; Murakami, Gen; Suzuki, Daisuke; Furuya, Kenichi; Koyama, Masayasu; Ohtsuka, Aiji.

In: International Urogynecology Journal and Pelvic Floor Dysfunction, Vol. 18, No. 8, 08.2007, p. 863-868.

Research output: Contribution to journalArticle

Nagata, Ichiro ; Murakami, Gen ; Suzuki, Daisuke ; Furuya, Kenichi ; Koyama, Masayasu ; Ohtsuka, Aiji. / Histological features of the rectovaginal septum in elderly women and a proposal for posterior vaginal defect repair. In: International Urogynecology Journal and Pelvic Floor Dysfunction. 2007 ; Vol. 18, No. 8. pp. 863-868.
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