International Urogynecology Journal

, Volume 12, Issue 2, pp 97–103

Durability of Success after Rectocele Repair

  • A. López
  • B. Anzén
  • S. Bremmer
  • A. Mellgren
  • B. Y. Nilsson
  • J. Zetterström
  • B. Holmström
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

Authors and Affiliations

  • A. López
    • 1
  • B. Anzén
    • 2
  • S. Bremmer
    • 3
  • A. Mellgren
    • 4
  • B. Y. Nilsson
    • 5
  • J. Zetterström
    • 2
  • B. Holmström
    • 6
  1. 1.Karolinska Institutet Danderyd Hospital, Stockholm, SwedenSE
  2. 2.Karolinska University Hospital, Stockholm, SwedenSE
  3. 3.Karolinska University Hospital, Stockholm, SwedenSE
  4. 4.Karolinska University Hospital, Stockholm, SwedenSE
  5. 5.Huddinge University Hospital, Karolinska Institutet, Stockholm, SwedenSE
  6. 6.Karolinska Institutet Danderyd Hospital, Stockholm, SwedenSE