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Vertical Versus Horizontal Plicataion in Transperienal Repair of Rectocele

Outcome of Vertical Versus Horizontal Plicataion in Transperienal Repair of Rectocele; a Randomized Controlled Trial

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04502953
Enrollment
40
Registered
2020-08-06
Start date
2018-06-01
Completion date
2020-05-30
Last updated
2020-08-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Rectocele

Brief summary

We assumed that the technique of plication of the rectovaginal septum and rectal wall may factor in providing better and more sustained repair that confers more satisfactory improvement in symptoms. The present randomized study aimed to evaluate the outcome of TPR with vertical plication of the rectovaginal septum as compared to the horizontal plication with regards to improvement in ODS, recurrence of rectocele, postoperative complications and dyspareunia.

Interventions

PROCEDUREVertical plication

Vertical plication of the rectovaginal septum was done

PROCEDUREHorizontal plication

Horizontal plication of the rectovaginal septum was done

Sponsors

Mansoura University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Vertical plication of the rectovaginal septum was done

Exclusion criteria

* patients with ODS caused by conditions other than rectocele such as anismus and internal rectal prolapse * patients with slow transit constipation. * patients with recurrent rectocele after previous surgery. * patients with pre-existing FI * patients with associated anorectal pathology.

Design outcomes

Primary

MeasureTime frameDescription
Complete cure of symptoms12 months after repairAbsence of symptoms of constipation with Wexner score \<2

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026