A Single-center Experience of Clinical Outcomes of Surgical Management for Rectocele Disease
Journal Title: Turkish Journal of Colorectal Disease - Year 2019, Vol 29, Issue 4
Abstract
Aim: Different surgical management options have been described for rectocele disease. However, there is no consensus on the best surgical technique and mesh use. In this study, we present the clinical outcomes of patients who received surgical management for rectocele disease. Method: In our study, we analyzed the files of 78 patients who underwent surgery for rectocele between January 2002 and December 2018. We retrospectively reviewed the treatment outcomes and clinical and demographic characteristics of these patients. Results: The mean age of the patients was 52 (range=31-88) years and the mean parity was 3 (range=1-11). The most common complaints were constipation and defecation difficulties. The diagnosis of rectocele was confirmed by a physical examination in 58 patients (75%) and confirmed by defecography in 20 patients (25%). Primary repair was performed in 72 patients (92%), and polypropylene mesh repair was performed with a perineal approach in six patients (8%). Hemorrhage and infection were seen as early complications in only five patients (6.4%). The mean hospital stay was 1.6 (range=1-11) days. The mean follow-up was 54 (range=3-218) months. There was a recurrence in two patients (2.5%). Conclusion: Rectocele can be successfully treated with low morbidity rates when properly diagnosed and managed by appropriate specialists. Factors such as coexisting pelvic floor diseases, age of the patient, and whether the patient is in the reproductive period should be considered when choosing the appropriate surgical technique. Also, clinicians should keep in mind that rectocele is preventable and that incidence can be reduced by lifestyle changes.
Authors and Affiliations
Ramazan Sarı, Murat Kuş, İlker Murat Arer, Hakan Yabanoğlu
Keywords
Related Articles
- EP ID EP676859
- DOI 10.4274/tjcd.galenos.2019.2019-4-1
- Views 189
- Downloads 0
Intussusception Caused by an Appendiceal Mucocele: Case Report
Intussusception of the appendix in to the caecum caused by an appendiceal mucocele is a rarecondition. Acute appendicitis is the most common presentation is of the disease. Radiologic examination methods especially compu...
Assessment of Monocyte/HDL Ratio in Patients with Acute Appendicitis
Aim: In patients with acute appendicitis (AA), the number of monocytes increase and the level of high-density lipoprotein cholesterol (HDL-C) decrease. The monocyte/HDL-C ratio (MHR) has recently been used as a diagnosti...
Intersphincteric Resection for Low Rectal Cancer: A Review of Anatomy and Surgical Techniques, Oncologic and Functional Outcomes and the Role of Robotics
Intersphincteric resection (ISR) for low rectal cancer is a relatively novel anal-sparing technique that requires a thorough knowledge of the anatomy of the deep pelvic space and advanced surgical skills. The development...
Transanal Advancement Flap Repair: The Current Gold Standard for Cryptoglandular Transsphincteric Perianal Fistulas
Transanal advancement flap repair has been considered as a treatment modality for transsphincteric perianal fistulas for over a century. Several systematic reviews have shown that this technique is effective in 80 percen...
Compliance with Quality Standards and Causes of Incomplete Colonoscopy: A Prospective Observational Study
Aim: To evaluate incomplete colonoscopy rate, factors affecting incomplete colonoscopy, and compliance with colonoscopy quality standards in our clinic. Method: This prospective study was conducted in a tertiary health...