Techniques of Rectocele Repair and Their Effects on Bowel Function

Overview

Journal Int Urogynecol J Pelvic Floor Dysfunct

Specialties Gynecology & Obstetrics
Urology

Date 1998 Jul 10

PMID 9657177

Citations 15

Authors

M A Kahn

S L Stanton

Affiliations

Soon will be listed here.

Abstract

Gynecologists have traditionally evaluated rectocele repair by its effect on vaginal function; coloproctologists have traditionally evaluated its effect on bowel function. Hence different operative criteria and surgical techniques have arisen, but with very little prospective, objective evaluation. The purpose of this review is to describe the surgical techniques used to repair the rectocele and the most common investigations used during its evaluation. Anorectal investigations identify concomitant pathology, may explain pathophysiology, provide objective outcome criteria and attempt to predict the patients that will most benefit from surgery. However, because of the complex neuromuscular, physiological and mechanical interactions that contribute to impaired rectal emptying, their usefulness in improving functional outcome has been limited. Many patients experience improvement, but still are left with some symptoms of impaired defecation despite anatomic correction.

Citing Articles

Laparoscopic or transanal repair of rectocele? Comparison of a reduction in rectocele size.

Tsunoda A, Takahashi T, Matsuda S, Kusanagi H Int J Colorectal Dis. 2023; 38(1):85.

PMID: 36977940 DOI: 10.1007/s00384-023-04373-1.

Comparative Study Between Trans-perineal Repair With or Without Limited Internal Sphincterotomy in the Treatment of Type I Anterior Rectocele: a Randomized Controlled Trial.

Youssef M, Emile S, Thabet W, Elfeki H, Magdy A, Omar W J Gastrointest Surg. 2016; 21(2):380-388.

PMID: 27778256 DOI: 10.1007/s11605-016-3299-4.

Comments to: surgical management of pelvic organ prolapse in women.

Cohen A, Kahn M, Brown S Tech Coloproctol. 2016; 20(5):327-330.

PMID: 27037710 DOI: 10.1007/s10151-016-1448-0.

Morbidity and functional mid-term outcomes using Prolift pelvic floor repair systems.

Kozal S, Ripert T, Bayoud Y, Menard J, Nicolacopoulos I, Bednarzyck L Can Urol Assoc J. 2014; 8(9-10):E605-9.

PMID: 25295130 PMC: 4164547. DOI: 10.5489/cuaj.2022.

Posterior repair quantification (PR-Q) using key anatomical indicators (KAI): preliminary report.

Haylen B, Avery D, Chiu T, Birrell W Int Urogynecol J. 2014; 25(12):1665-72.

PMID: 24866278 DOI: 10.1007/s00192-014-2433-7.

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