Rectovaginal Septum Endometriosis
The rectovaginal septum is an anatomical structure composed of connective tissue, smooth muscle, and nerves, situated between the posterior vagina and anterior rectum.
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This chapter describes the rectovaginal septum (RVS) as a pelvic anatomic structure located retroperitoneally between the posterior vaginal wall and the anterior rectum, detailing its connective tissue composition and histotopographic elements such as collagen and elastic fibers, small vessels, smooth muscle cells, and nerve fibers. It summarizes anatomical extent from the base of the rectovaginal pouch of Douglas to the urogenital diaphragm and notes that histology suggests tissue origins related to the autonomic inferior hypogastric plexus. The key limitation is that the excerpt provides descriptive anatomy and histology rather than original patient-based outcomes or diagnostic performance data. This paper is centrally about endometriosis — it focuses specifically on rectovaginal septum endometriosis within a procedural ultrasonography-at-endometriosis context.
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