Outcome and medium-term functional results of anterior rectopexy for rectocele repair

Autor:	M. E. Westerweel, J. B. V. M. Delemarre, J. B. Trimbos, Sara R.C. Driessen, M. J. W. Bogaerts-Samama, E. Jenninga
Rok vydání:	2014
Předmět:	medicine.medical_specialty Rectovaginal examination medicine.diagnostic_test business.industry Obstetrics and Gynecology Retrospective cohort study Interventional radiology Mean age Surgery Medium term Rectocele repair Female patient Medicine Defecography business
Zdroj:	Gynecological Surgery. 11:257-260
ISSN:	1613-2084 1613-2076
DOI:	10.1007/s10397-014-0862-4
Popis:	This retrospective observational study was designed to assess patients’ satisfaction after anterior rectopexy, with or without sacropexy, for treatment of symptomatic rectocele in a group of women with anterior rectoceles. Between February 1995 and March 2011, all female patients who underwent an anterior rectopexy for large (>grade 2) anterior rectocele were included in the study. Preoperatively, the rectocele was assessed at rectovaginal examination and a defecography was performed. Rectovaginal examination was repeated in all patients 6 weeks postoperatively and a control defecography was performed 6 months after surgery. Follow-up included a standard telephone questionnaire and chart review. The surgical techniques used were anterior rectopexy (ARP; n = 21) and ARP + sacropexy (ARP + SP; n = 20). Mean age of the study group was 60 years (range = 36–77) and median parity was 2.6 (range = 0–8). Median follow-up from anterior ARP ± SP to functional assessment was 40 months (range = 4–83). In both groups, two of the initial main clinical symptoms (discomfort due to feeling of prolapse and outlet obstruction) improved significantly (p grade 2) anterior rectocele.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::2f31f5649e410c1a7abb81c1d804bc45 https://doi.org/10.1007/s10397-014-0862-4 Zobrazit plný text záznamu Plný text ve formátu PDF