Mise Au Point / in - Depth Review Rectocele Repair
نویسندگان
چکیده
The term rectocele describes a hernia of the rectal wall – most often anterior – causing an unrolling of the posterior vaginal wall and posterior colpocele. Rectoceles can be associated with elytrocele, with or without bowel or sigmoid loops, and are often associated with other pelvic floor disorders. Assessment and management of pelvic organ prolapse is practitioner-dependent and the term “rectocele,” in practice, can in fact define different entities without any concordance between anatomical findings and symptoms. Therefore, numerous procedures of rectocele repair have been described, but prospective trials are rare, heavily biased, and difficult to organize. Moreover, analysis of the efficacy of surgical treatments cannot be limited to anatomical outcomes but must also consider functional outcomes, particularly sexual and defecatory functions, in which both the posterior vaginal wall and anterior rectal wall are concerned. In this review, we describe anatomy and clinical presentation of rectoceles and review the different methods of surgical treatment. In regard to our personal experience, we propose certain therapeutic indications to correct anatomical and functional defects.
منابع مشابه
Comparison of Long-term Clinical Outcomes according to the Change in the Rectocele Depth between Transanal and Transvaginal Repairs for a Symptomatic Rectocele
PURPOSE This study was aimed to compare the results of a transanal repair with those of a transvaginal levatorplasty and to determine the long-term clinical outcomes according to the change in the depth of the rectocele after the procedure. METHODS Of 50 women who underwent a rectocele repair from March 2005 to February 2007, 26 women (group A) received a transanal repair, and 24 (group B) re...
متن کاملStapled transanal rectal resection vs. transvaginal rectocele repair for treatment of obstructive defecation syndrome.
PURPOSE Stapled transanal rectal resection has been introduced as a new technology for the management of obstructive defecation syndrome. In this study we observed the clinical outcomes for stapled transanal rectal resection as compared with transvaginal rectocele repair for obstructive defecation syndrome. METHODS This study is a retrospective review of patients who received transvaginal rec...
متن کاملSite-specific rectocele repair compared with standard posterior colporrhaphy.
OBJECTIVE To compare the anatomic and functional outcomes of site-specific rectocele repair and standard posterior colporrhaphy. METHODS We reviewed charts of all patients who underwent repair of advanced posterior vaginal prolapse in our institution between July 1998 and June 2002 with at least 1 year of follow-up. RESULTS This study comprised 124 consecutive patients following site-specif...
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تاریخ انتشار 2011