International Urogynecology Journal

, Volume 12, Issue 2, pp 97–103

Durability of Success after Rectocele Repair

Authors

  • A. López
    • Karolinska Institutet Danderyd Hospital, Stockholm, Sweden
  • B. Anzén
    • Karolinska University Hospital, Stockholm, Sweden
  • S. Bremmer
    • Karolinska University Hospital, Stockholm, Sweden
  • A. Mellgren
    • Karolinska University Hospital, Stockholm, Sweden
  • B. Y. Nilsson
    • Huddinge University Hospital, Karolinska Institutet, Stockholm, Sweden
  • J. Zetterström
    • Karolinska University Hospital, Stockholm, Sweden
  • B. Holmström
    • Karolinska Institutet Danderyd Hospital, Stockholm, Sweden
Original Article

DOI: 10.1007/PL00004032

Cite this article as:
López, A., Anzén, B., Bremmer, S. et al. Int Urogynecol J (2001) 12: 97. doi:10.1007/PL00004032

Abstract:

The purpose of the study was to determine the durability of success after rectocele repair and to evaluate parameters that might influence long-term results. Twenty-five patients with rectocele were prospectively evaluated both clinically and physiologically. Follow-up was performed twice, at 1 and 5.1 years postoperatively. Twenty-four patients had a long-term follow-up; 21/23 patients (91%) with preoperative symptoms of rectal emptying difficulty reported improvement of their symptoms and 9 of 12 (75%) with preoperative symptoms of pelvic heaviness reported relief at long-term follow-up. All 5 patients with preoperative pathologic transit study had various degrees of rectal emptying difficulty at long-term follow-up. Three of 5 patients with preoperative paradoxical sphincter reaction (PSR) at electromyography (EMG) reported improvement of the symptoms of rectal emptying difficulty at long-term follow-up. Surgery for rectocele is associated with improved symptoms in a majority of patients which are sustained long term. Patients with pathologic transit study may have a less favorable symptomatic outcome. The clinical significance of PSR needs further study.

Key words:Constipation – Defecation disorders – Dyspareunia – Outcome – Rectocele – Surgery

Copyright information

© Springer-Verlag London Limited 2001