Pelviography combined with defecography in the diagnosis of pelvic floor hernia

Objective To evaluate the diagnostic value of pelviography combined with defecography in diagnosis of pelvic floor hernia in order to provide options for clinical therapy. Methods A total of 278 patients with defecation disorder and pelvic heaviness (the abnormal group) and 50 healthy people (the control group) were examined by pelviography combined with defecography, and the position of peritoneal reflexum of the pelvic floor was measured. Results In the control group, no morphologic abnormality was found in the anorectal and pelvic floor. In the abnormal group, morphological abnormality in the anorectum was found in 276 cases. The morphologic position of the pelvic floor was normal in 124 cases. Pelviography failed in 6 patients. Pelvic floor hernia was found in 148 cases, including 112 cases of rectal peritoneocele, 22 cases of septal peritoneocele, 11 cases of vaginal peritoneocele, and 3 cases of omental peritoneocele. Pelvic floor hernia was mostly accompanied by rectal mucosal prolapse and rectal intussusception, but without spastic pelvic floor syndrome. Conclusion Pelviography combined with defecography is a reliable method in diagnosis of pelvic floor hernia. It can provide reliable objective basis for the choice of clinical therapy.