Structural findings:
Intrauterine contraceptive device noted. Thickening of the mucosa of the rectum but no suspicious lesion. Normal and symmetric appearances of the levator musculature.
Dynamic findings:
Measurements obtained at maximal straining using the PCL system are as follows:
Bladder neck: 26 mm below line (mild cystocele)
Uterine cervix: 26 mm below line (mild uterine cervix descent)
Anorectal junction: full thickness external rectal prolapse, therefore accurate measurement not possible
Rectocele: none
During evacuation, there is marked global pelvic floor descent with formation of a cystocele, uterine cervix descent and a large full-thickness external rectal prolapse. There is also an enterocele.
In summary:
No structural abnormality.
Global pelvic floor descent with large full-thickness external rectal prolapse and enterocele.