Rectocele
Conditions
Brief summary
Comparison between transperineal repair of rectocele with or without posterior internal sphincterotomy.
Detailed description
Transperineal repair of anterior rectocele is performed in two groups of patients, the first will undergo limited posterior internal sphincterotomy, the second group will not have internal sphincteroromy. The two groups are compared regarding recurrence of rectocele and improvement of symptoms.
Interventions
PROCEDURETransperineal repair with PIS
Repair of anterior rectocele via transperineal approach followed by limited internal sphincterotomy at 6 o'clock.
PROCEDURETransperineal repair without PIS
Repair of anterior rectocele via transperineal approach without performing limited internal sphincterotomy
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patients with anterior rectocele
Exclusion criteria
* Pregnant females * Rectocele with pelvic organ prolapse * Any patient with previous anorectal surgery * Pudendal nerve neuropathy * Anal fistula and sepsis * Patients with sphincter defect proved by endo-anal sonography * Patients proved to have colonic inertia either by colon transit time and/or history * Patients with defecography anomalies causing obstructed defecation other than rectocele (e.g. Anismus). * Also patients with vascular diseases, scleroderma, malnutrition, and coagulopathy were excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of recurrence | 18 months | Number of patients presenting with recurrent or persistent symptoms during follow up |
Countries
Egypt
Outcome results
None listed