2017, Number 2
Revista Cubana de Cirugía 2017; 56 (2)
Posterior compartment of the pelvic floor and its integration in cross-sectional approach in "Comandante Manuel Fajardo" Hospital (2013-2015)
Curbelo SN, Llorente LFF
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ABSTRACTIntroduction: pelvic floor illnesses have high prevalence and their study must be conducted with a cross-sectional approach to provide the patient with adequate treatment.
Objectives: to describe the clinical characteristics of the posterior compartment illnesses by using cross-sectional approach-based diagnoses in patients seen at the coloproctology service of Manuel Fajardo¨ university hospital from September 2013 to May 2015.
Method: descriptive and cross-sectional study. The universe of study was 67 patients. Frequencies and percentages for qualitative variables and age intervals as well as summary statistics for age were all calculated.
Results: many patients were 45 years and over, being the older age predominant (43.3%). Women were the majority in the group (80.6%). The most frequent risk antecedents were those related to obstetric history, mainly multiparity (83.3%). The most common form of presentation was anal incontinence. Single affection of the posterior compartment (59.7%) prevailed. The predominant bi-compartmental affection was the anterior and posterior one, mainly determined by dual incontinence (single affection in 17.9% of cases). Tricompartmental affection was not detected.
Conclusions: the posterior compartment affections were greatly associated to diseases in other pelvic floor compartments, which supports the importance of using the cross-sectional approach.