Transvaginal posterior colporrhaphy combined with laparoscopic ventral mesh rectopexy for isolated Grade III rectocele: a prospective study of 27 patients.

S.J. van der Hagen, W.G. van Gemert, P.B. Soeters, H. de Wet, C.G.M.I. Baeten

Research output: Contribution to journalArticleAcademicpeer-review

6 Citations (Scopus)

Abstract

Aim: The aim of this study was to evaluate prospectively transvaginal posterior colporrhaphy (TPC), combined with laparoscopic ventral mesh rectopexy (LVR), in patients with a symptomatic isolated rectocele. Method: Patients with these complaints underwent dynamic and static MRI. All consecutive patients with a grade III (4 or more cm) rectocele and without internal/external rectal prolapse, enterocele and external sphincter damage were operated on. The patients completed the Obstructed Defecation (ODS) Score system and the Cleveland clinic incontinence (CCIS) score. All tests were repeated after treatment. Dynamic disorders of the pelvic floor detected by MRI were recorded. Results: In 27 patients (median age 67 (46-73) years, TPC combined with LVR was feasible. Complications were limited to port site infection in two patients. Sexual discomfort due to prolapse diminished in six (75%) patients and in one (4%) de novo dyspareunia developed after treatment. The median follow up was 12 (10-18) months. The median CCIS was 12 (10-16) before treatment and 8 (7-10) after (p<0.0001). The median ODS was 19 (17-23) before and 6 (3-10) after treatment (p < 0.0001). There was no change in urinary symptoms. Conclusion: TPC combined with LVR for obstructed defaecation and faecal incontinence in patients with grade III rectocele significantly relieves the symptoms of these disorders. (c) 2012 The Authors Colorectal Disease (c) 2012 The Association of Coloproctology of Great Britain and Ireland.
Original languageEnglish
Pages (from-to)1398-1402
Number of pages5
JournalColorectal Disease
Volume14
Issue number11
DOIs
Publication statusPublished - Nov 2012

Keywords

  • Rectopexie
  • rectocele
  • colporrhaphy
  • transvaginal
  • OBSTRUCTED DEFECATION SYNDROME
  • INTERNAL RECTAL PROLAPSE
  • COMPLEX RECTOCELE
  • TRANSANAL REPAIR
  • SEXUAL FUNCTION
  • EPIDEMIOLOGY
  • INCONTINENCE
  • CONSTIPATION
  • MULTICENTER
  • SAFETY

Cite this

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title = "Transvaginal posterior colporrhaphy combined with laparoscopic ventral mesh rectopexy for isolated Grade III rectocele: a prospective study of 27 patients.",
abstract = "Aim: The aim of this study was to evaluate prospectively transvaginal posterior colporrhaphy (TPC), combined with laparoscopic ventral mesh rectopexy (LVR), in patients with a symptomatic isolated rectocele. Method: Patients with these complaints underwent dynamic and static MRI. All consecutive patients with a grade III (4 or more cm) rectocele and without internal/external rectal prolapse, enterocele and external sphincter damage were operated on. The patients completed the Obstructed Defecation (ODS) Score system and the Cleveland clinic incontinence (CCIS) score. All tests were repeated after treatment. Dynamic disorders of the pelvic floor detected by MRI were recorded. Results: In 27 patients (median age 67 (46-73) years, TPC combined with LVR was feasible. Complications were limited to port site infection in two patients. Sexual discomfort due to prolapse diminished in six (75{\%}) patients and in one (4{\%}) de novo dyspareunia developed after treatment. The median follow up was 12 (10-18) months. The median CCIS was 12 (10-16) before treatment and 8 (7-10) after (p<0.0001). The median ODS was 19 (17-23) before and 6 (3-10) after treatment (p < 0.0001). There was no change in urinary symptoms. Conclusion: TPC combined with LVR for obstructed defaecation and faecal incontinence in patients with grade III rectocele significantly relieves the symptoms of these disorders. (c) 2012 The Authors Colorectal Disease (c) 2012 The Association of Coloproctology of Great Britain and Ireland.",
keywords = "Rectopexie, rectocele, colporrhaphy, transvaginal, OBSTRUCTED DEFECATION SYNDROME, INTERNAL RECTAL PROLAPSE, COMPLEX RECTOCELE, TRANSANAL REPAIR, SEXUAL FUNCTION, EPIDEMIOLOGY, INCONTINENCE, CONSTIPATION, MULTICENTER, SAFETY",
author = "{van der Hagen}, S.J. and {van Gemert}, W.G. and P.B. Soeters and {de Wet}, H. and C.G.M.I. Baeten",
year = "2012",
month = "11",
doi = "10.1111/j.1463-1318.2012.03023.x",
language = "English",
volume = "14",
pages = "1398--1402",
journal = "Colorectal Disease",
issn = "1462-8910",
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Transvaginal posterior colporrhaphy combined with laparoscopic ventral mesh rectopexy for isolated Grade III rectocele: a prospective study of 27 patients. / van der Hagen, S.J.; van Gemert, W.G.; Soeters, P.B.; de Wet, H.; Baeten, C.G.M.I.

In: Colorectal Disease, Vol. 14, No. 11, 11.2012, p. 1398-1402.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Transvaginal posterior colporrhaphy combined with laparoscopic ventral mesh rectopexy for isolated Grade III rectocele: a prospective study of 27 patients.

AU - van der Hagen, S.J.

AU - van Gemert, W.G.

AU - Soeters, P.B.

AU - de Wet, H.

AU - Baeten, C.G.M.I.

PY - 2012/11

Y1 - 2012/11

N2 - Aim: The aim of this study was to evaluate prospectively transvaginal posterior colporrhaphy (TPC), combined with laparoscopic ventral mesh rectopexy (LVR), in patients with a symptomatic isolated rectocele. Method: Patients with these complaints underwent dynamic and static MRI. All consecutive patients with a grade III (4 or more cm) rectocele and without internal/external rectal prolapse, enterocele and external sphincter damage were operated on. The patients completed the Obstructed Defecation (ODS) Score system and the Cleveland clinic incontinence (CCIS) score. All tests were repeated after treatment. Dynamic disorders of the pelvic floor detected by MRI were recorded. Results: In 27 patients (median age 67 (46-73) years, TPC combined with LVR was feasible. Complications were limited to port site infection in two patients. Sexual discomfort due to prolapse diminished in six (75%) patients and in one (4%) de novo dyspareunia developed after treatment. The median follow up was 12 (10-18) months. The median CCIS was 12 (10-16) before treatment and 8 (7-10) after (p<0.0001). The median ODS was 19 (17-23) before and 6 (3-10) after treatment (p < 0.0001). There was no change in urinary symptoms. Conclusion: TPC combined with LVR for obstructed defaecation and faecal incontinence in patients with grade III rectocele significantly relieves the symptoms of these disorders. (c) 2012 The Authors Colorectal Disease (c) 2012 The Association of Coloproctology of Great Britain and Ireland.

AB - Aim: The aim of this study was to evaluate prospectively transvaginal posterior colporrhaphy (TPC), combined with laparoscopic ventral mesh rectopexy (LVR), in patients with a symptomatic isolated rectocele. Method: Patients with these complaints underwent dynamic and static MRI. All consecutive patients with a grade III (4 or more cm) rectocele and without internal/external rectal prolapse, enterocele and external sphincter damage were operated on. The patients completed the Obstructed Defecation (ODS) Score system and the Cleveland clinic incontinence (CCIS) score. All tests were repeated after treatment. Dynamic disorders of the pelvic floor detected by MRI were recorded. Results: In 27 patients (median age 67 (46-73) years, TPC combined with LVR was feasible. Complications were limited to port site infection in two patients. Sexual discomfort due to prolapse diminished in six (75%) patients and in one (4%) de novo dyspareunia developed after treatment. The median follow up was 12 (10-18) months. The median CCIS was 12 (10-16) before treatment and 8 (7-10) after (p<0.0001). The median ODS was 19 (17-23) before and 6 (3-10) after treatment (p < 0.0001). There was no change in urinary symptoms. Conclusion: TPC combined with LVR for obstructed defaecation and faecal incontinence in patients with grade III rectocele significantly relieves the symptoms of these disorders. (c) 2012 The Authors Colorectal Disease (c) 2012 The Association of Coloproctology of Great Britain and Ireland.

KW - Rectopexie

KW - rectocele

KW - colporrhaphy

KW - transvaginal

KW - OBSTRUCTED DEFECATION SYNDROME

KW - INTERNAL RECTAL PROLAPSE

KW - COMPLEX RECTOCELE

KW - TRANSANAL REPAIR

KW - SEXUAL FUNCTION

KW - EPIDEMIOLOGY

KW - INCONTINENCE

KW - CONSTIPATION

KW - MULTICENTER

KW - SAFETY

U2 - 10.1111/j.1463-1318.2012.03023.x

DO - 10.1111/j.1463-1318.2012.03023.x

M3 - Article

VL - 14

SP - 1398

EP - 1402

JO - Colorectal Disease

JF - Colorectal Disease

SN - 1462-8910

IS - 11

ER -