Surgical Management of Enterocele in Women: the Abdominal or Transvaginal Approach?

Hypothesis / aims of study An enterocele is a herniation of the small bowel or peritoneum protruding in the upper part of the posterior wall of the vagina. Enteroceles are often accompanied by rectoceles and may not only cause vaginal bulging symptoms, but also symptoms of obstructive defecation. Current surgical approaches for large recto-enteroceles include the laparoscopic or open rectovaginopexy (RVP) , the posterior vaginal colporraphia with a Moskowitz procedure, and recently the use of posterior vaginal mesh implant. The aim of this study is to compare the anatomical and functional outcome of surgical recto-enterocele repair with a posterior vaginal mesh implant (Avaulta ® posterior type) and the abdominal rectovaginopexy (RVP).