Clinical and Physiologic Outcomes After Transvaginal Rectocele Repair

Abstract

Transvaginal rectocele repair can provide excellent long-term symptomatic relief and a high rate of patient satisfaction without any alteration in anorectal physiologic function.

Practice Parameters for the Evaluation and Management of Constipation

“…Postoperative dyspareunia will occur in 25 percent of patients and at least 10 percent may recur and require reoperation; 36 percent will report a problem with fecal incontinence. [60][61][62][63] A prospective study of rectocele repair using xenograft has been reported. 64 Although significant decreases in rectal emptying difficulties were noted, cure of the rectal emptying difficulties was reported by less than half of the patients at the three-year follow-up.…”

Outcomes After Transanal Repair of Rectoceles

“…2 Although excellent functional results have been demonstrated with posterior colporrhaphy, postoperative dyspareunia has been reported in up to 20% of cases. [3][4][5][6] Colorectal surgeons typically prefer the transanal approach to rectocele repair, which provides the necessary exposure for repair of concurrent anorectal pathology. Anatomic and functional improvements with this technique have been described by many authors in both prospective and retrospective studies.…”

Clinical and Morphologic Correlation after Stapled Transanal Rectal Resection for Obstructed Defecation Syndrome

“…16,17 Other studies have reported an improvement of constipation after surgery, supporting the concept that rectoceles may cause ODS. 1,18,19 This discrepancy may be explained by an underestimation of the posterior compartment and rectal intussusceptions, respectively, which are found in up to 60 percent in combination with anterior rectoceles. 6,7 This figure is even higher in our series (75 percent).…”