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 194
- Downloads 0
Melanosis Coli: Case Report
Melanosis coli is an incidental benign finding characterized by the deposition of dark brown pigment in the colonic mucosa. The cause of this situation is due to long-term laxative use. We report a female patient who und...
A Rare Case of Colonic Schwannoma
Schwannomas are tumors originating from schwann cells in the nervous system. Colonic location is rarely seen and there are a few case reports published in the literature. We report a 53 year-old female who presented with...
Validity and Reliability of the Turkish Version of Pittman Ostomy Complication Severity Index
Aim: This study aimed to investigate the reliability and validity of the Turkish version of the Pittman Ostomy Complication Severity index. Method: This methodological research was carried out between January 1, 2017, a...
Melanosis of The Appendix Presenting with the Clinic of Acute Appendicitis
Laxative drugs are frequently used for chronic constipation. The chronic use of laxatives, which contain anthraquinone, mostly causes melanosis coli. A 57-year-old male patient with a history of diabetes mellitus and cor...
Strategy for Return to General Surgical Elective Surgeries in Controlled COVID-19 Pandemic
In these days when the COVID-19 pandemic was under control, a strategy was intended to be developed in the light of international literature to safely return to routine surgical activities and elective surgical operation...