J Vermeulen1, J F Lange, A C Sikkenk, E van der Harst. 1. MCRZ locatie Zuider, Department of Surgery, Medisch Centrum Rijnmond Zuid, Olympiaweg 350, Rotterdam, The Netherlands. VermeulenJ@MCRZ.nl
Abstract
BACKGROUND: Several different surgical repair procedures for symptomatic rectocele have been described with variable results. In our clinic, a modified anterolateral rectopexy is used. In this article we evaluate our results, with emphasis on patient satisfaction. METHODS: From 2001 until 2003, twenty patients with a symptomatic rectocele were treated by anterolateral rectopexy. The preoperative dynamic defecogram and anorectal complaints were analyzed and compared to postoperative outcome via a standardized questionnaire. RESULTS: After surgery, all rectoceles were restored as shown by postoperative defecogram. Anorectal symptoms (incomplete evacuation, continuous urge, prolapse, digital evacuation) were improved in 40%. As new-onset symptoms, dyspareunia (50%), digital support (55%) and incomplete evacuation (75%) were mentioned frequently. Most of the patients with larger rectoceles (>3.5 cm) had increased anorectal complaints after surgery. CONCLUSIONS: Anterolateral rectopexy for treatment of rectocele give limited improvement of anorectal complaints. Besides, many patients developed new complaints postoperatively and hence overall satisfaction was low.
BACKGROUND: Several different surgical repair procedures for symptomatic rectocele have been described with variable results. In our clinic, a modified anterolateral rectopexy is used. In this article we evaluate our results, with emphasis on patient satisfaction. METHODS: From 2001 until 2003, twenty patients with a symptomatic rectocele were treated by anterolateral rectopexy. The preoperative dynamic defecogram and anorectal complaints were analyzed and compared to postoperative outcome via a standardized questionnaire. RESULTS: After surgery, all rectoceles were restored as shown by postoperative defecogram. Anorectal symptoms (incomplete evacuation, continuous urge, prolapse, digital evacuation) were improved in 40%. As new-onset symptoms, dyspareunia (50%), digital support (55%) and incomplete evacuation (75%) were mentioned frequently. Most of the patients with larger rectoceles (>3.5 cm) had increased anorectal complaints after surgery. CONCLUSIONS: Anterolateral rectopexy for treatment of rectocele give limited improvement of anorectal complaints. Besides, many patients developed new complaints postoperatively and hence overall satisfaction was low.
Authors: T Laubert; M Kleemann; U J Roblick; C Bürk; P Hildebrand; J Lewejohann; E Schlöricke; H-P Bruch Journal: Tech Coloproctol Date: 2012-11-14 Impact factor: 3.781
Authors: Ugo Grossi; Natasha Stevens; Eleanor McAlees; Jon Lacy-Colson; Steven Brown; Anthony Dixon; Gian Luca Di Tanna; S Mark Scott; Christine Norton; Nadine Marlin; James Mason; Charles H Knowles Journal: Trials Date: 2018-02-05 Impact factor: 2.279
Authors: Lorenzo Ripamonti; Angelo Guttadauro; Giulia Lo Bianco; Maria Rennis; Matteo Maternini; Gerardo Cioffi; Marco Chiarelli; Matilde De Simone; Ugo Cioffi; Francesco Gabrielli Journal: Front Surg Date: 2022-02-14