2022
DOI: 10.1111/nmo.14343
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Transvaginal rectocoele repair for the surgical treatment of a “symptomatic” rectocoele when conservative measures fail: A 12 year experience of 215 patients

Abstract: Background: Conservative measures are first-line treatment for a "symptomatic" rectocoele, while surgery to correct the anatomical defect may be considered in selected cases. The standard repair offered in our trust is a native tissue transvaginal rectocoele repair (TVRR) combined with levatorplasty. The primary aim of the study was to conduct a retrospective study to assess the outcome of this procedure, while secondary aims were to assess whether specific characteristics and symptoms were associated with res… Show more

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Cited by 5 publications
(18 citation statements)
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“…50 Such input may help avoid suboptimal outcomes associated with surgery in constipated patients among whom chronic abdominal and/or pelvic pain are major symptoms. 51 Of particular interest, colorectal surgeons were performing vaginal rather than transanal surgery in the Ferrari et al 8 study. This is not uncommon in the UK but might be viewed as an anathema in other parts of the world.…”
Section: Discussionmentioning
confidence: 99%
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“…50 Such input may help avoid suboptimal outcomes associated with surgery in constipated patients among whom chronic abdominal and/or pelvic pain are major symptoms. 51 Of particular interest, colorectal surgeons were performing vaginal rather than transanal surgery in the Ferrari et al 8 study. This is not uncommon in the UK but might be viewed as an anathema in other parts of the world.…”
Section: Discussionmentioning
confidence: 99%
“…Overall, there was insufficient evidence to prefer one type of procedure over another. In the Ferrari et al 8 study, the commonest adverse event was urinary retention (8.4%) followed by dyspareunia (7.9%). In keeping with the review, there were low rates of hematoma and fistulation (<1%).…”
Section: -307mentioning
confidence: 94%
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