Obstructive Defecation Syndrome, Rectocele
Conditions
Keywords
Anterior rectocele, laparoscopic ventral mesh rectopexy
Brief summary
The ideal surgical strategy for treating complex rectocele remains a topic for debate, with the transanal, transperineal, and transvaginal approach and the abdominal approach being at conflict with one another. While the transvaginal repair is more popular among gynecologists, the trans abdominal approach has become increasingly common among colorectal surgeons, in part due to the rising demand for minimally invasive surgery.
Detailed description
For the treatment of rectoceles and ODS in general, the laparoscopic method has recently come to light as a promising alternative. Laparoscopic ventral mesh rectopexy (LVMR) was originally described for the management of rectal prolapse. However, It was also recommended with encouraging results for the treatment of large symptomatic rectocele. The present study aims to evaluate the safety and efficacy of LVMR for complex rectocele.
Interventions
PROCEDURElaparoscopic ventral mesh rectopexy
patients are treated by laparoscopic ventral mesh rectopexy for anterior rectocele
Sponsors
Mansoura University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
30 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* multiparous female patients. * aged between 30 and 60 years * who were diagnosed with complex anterior rectocele- more than 3cm after failed medical treatment- with history of either vaginal delivery or caesarian section. * complex rectocele was one having any of the following features: size \> 3 cm in diameter, associated enterocoele or internal rectal prolapse
Exclusion criteria
* paradoxical contraction of puborectalis muscle (anismus), * complete external rectal prolapse * fecal incontinence * other benign anal conditions * those who are unfit for surgery due to associated severe co-morbidities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| changes in the Wexner constipation score | 6 months | improvement in constipation, if the score is decreasing this means improving |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| sexual function changes | 6 months | changes in the sexual function score post operative (Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire score(PISQ-12). The lower the score the better the function. |
Countries
Egypt
Outcome results
None listed