The pelvic floor is an important structure, mandatory to maintain urinary and faecal continence and to prevent descent of pelvic viscera. Simultaneously it should also permit micturition, defaecation and sexual intercourse. Disorders associated with the pelvic floor are common, especially in older multiparous women, and have a significant impact on quality of life. According to the related pelvic viscera, these disorders can be separated into three groups, which are the anterior, middle, and posterior pelvic compartment disorders. This thesis will evaluate the diagnosis and treatment of disorders of the posterior pelvic compartment. It is mainly focussed on the outcome of different surgical modalities in the treatment of these posterior pelvic compartment disorders, in example the outcome of rectocele, enterocele, and rectovaginal fistula repair. In addition, the value of transperineal ultrasound in the assessment of posterior pelvic compartment prolapse is investigated. Furthermore, it is examined whether pelvic floor injury contributes to the outcome of surgery for faecal incontinence.

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Financial support for this thesis was generously provided by: Erasmus MC, Afd. Alg. Heelkunde, Hollister B.V., Johnson & Johnson Medical B.V., Medtronic Trading NL B.V., MMS B.V., Olympus Nederland B.V., van Straten Medical
J.J.B. van Lanschot (Jan)
Erasmus University Rotterdam
Erasmus MC: University Medical Center Rotterdam

Oom, D. (2009, November 19). Diagnosis and Treatment of Disorders of the Posterior Pelvic Compartment. Retrieved from