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...

Female Pelvic and Reconstructive Surgery (FPRS) is a multidisciplinary subspecialty that combines the efforts of different professionals to benefit women with pelvic floor disorders.1 Gynecologists, urologists and colorectal surgeons areworking simultaneously and trying to offer the best treatment to their patients. However, each medical specialty presents different backgrounds, and this leads ...

A rectocele is a herniation of the rectum through the recto vaginal septum causing a protrusion of the posterior vaginal wall. The prevalence of rectocele ranges from 20% to 80% of the general population. Hendrix et al. performed a cross-sectional analysis of women who enrolled in the women’s health initiative of a hormone replacement therapy clinical trial. The total populationwas 27,342women....

CONTEXT The correlation between vaginal delivery, age and pelvic floor dysfunctions involving obstructed defecation is still a matter of controversy. OBJECTIVES To determine the influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctions in women with obstructed defecation syndrome. METHODS Four hundred sixty-nine females with obstructed defecation...

Rectocele is a condition that can be repaired transrectally with an obliterative suture technique. The obliterative suture is essentially a tightly drawn continuous lock-stitch suture that strangulates the tissues contained in the suture line, and causes them to slough, yet approximates the tissues at the base of the suture line, the submucosa, and muscularis layers and allows them to heal rapi...

CONTEXT Management of patients with obstructed defecation syndrome is still controversial. OBJECTIVE To analyze the efficacy of clinical, clinical treatment followed by biofeedback, and surgical treatment in patients with obstructed defecation, rectocele and multiple dysfunctions evaluated with echodefecography. METHODS The study included 103 females aged 26-84 years with obstructed defecat...

Table 1. Diagnostic criteria of ROME III. Backround: Chronic constipation is a common, chronic and frequent problem of the general population. The aim of this study is to assess the efficacy of defecography in diagnosing the etiology of constipation and the relation between constipation and rectocele. Material-method: We have investigated 250 patients who have been admitted to our general surge...

Rectocele is an herniation of the rectum through the rectovaginal fascia and posterior vaginal wall causing a protrusion into the vaginal lumen. It’s a common disorder in women with history of multiple vaginal deliveries and it is asymptomatic in 80% of cases. Symptomatic rectocele is less common, usually affects postmenopausal females, and results in obstructed defecation and constipation. Sur...

OBJECTIVE This study aims to estimate the effects of bilateral salpingo-oophorectomy (BSO) at the time of hysterectomy and estrogen therapy on vaginal prolapse. METHODS A retrospective analysis of the Women's Health Initiative estrogen-alone trial was performed. Women who retained their ovaries were compared with women who had BSO at the time of hysterectomy for the presence of cystocele or r...