Biomechanical properties of the rectovaginal fascia. Is it really a fascia?
<em>Background</em>. The aim of this study was to find out whether the rectovaginal fascia was really a true fascia by comparing the mechanical properties and collagen content of the rectovaginal fascia in women operated for rectoceles to the abdominal fascia in patients having an abdominal hysterectomy. <em>Materials and Methods</em>. Thirty patients were included. During operation for rectocele or hysterectomy a biopsy measuring 8 x 15 mm was taken from the rectovaginal fascia or abdominal fascia. Mechanical testing and measurement of collagen content was performed. <em>Results</em>. A significant difference in mechanical strength of the tissue was found. If, however, the strength was corrected for collagen content there was no difference between the two groups. <em>Conclusion</em>. The quality of collagen was comparable in the two groups. This adds further evidence to the existence of a distinct rectovaginal fascia.