Results of anterior levatorplasty for rectocele

Lamah, Marc; Ho, Jan Hoong; Leicester, R. J.

doi:10.1046/j.1463-1318.2001.00245.x

Cited by 19 publications

(17 citation statements)

References 20 publications

(14 reference statements)

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“…However, the procedure does not always alleviate symptoms [1][2][3][4][5][6][7][8]. The use of anterior levatorplasty in patients with rectocele was recently reported with promising results [9,10], but functional and morphological changes with this procedure have seldom been described. The possible disadvantage of usual anterior levatorplasty is that it leaves a scar in the perineum, which may cause suffering in the future.…”

Section: Introductionmentioning

confidence: 99%

Transvaginal anterior levatorplasty with posterior colporrhaphy for symptomatic rectocele

et al. 2003

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Section: Introductionmentioning

confidence: 99%

Transvaginal anterior levatorplasty with posterior colporrhaphy for symptomatic rectocele

et al. 2003

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“…Nonsurgical treatment includes pessaries, dietary modification, bulk-forming agents, and biofeedback therapy [22, 23]. If failed, surgery is indicated when the rectocele has a diameter >3 cm with symptoms of difficult or prolonged evacuation, sensation of incomplete emptying, retention of a specific amount of paste/isotope on defecography, or evacuation with digital assistance [1,2,3,4,5,6,7,8,9,10]. …”

Section: Discussionmentioning

confidence: 99%

“…It enables complete restoration of anatomical abnormalities and allows concomitant repair of the anterior sphincter for patients with fecal incontinence [5]. Moreover, it can be performed in patients who already have anal sphincter damage, as it causes minimal deterioration of the anal sphincter function [3, 24].…”

Section: Discussionmentioning

confidence: 99%

“…Surgical intervention is indicated for large rectoceles with a diameter >3 cm and/or symptomatic rectoceles associated with obstructed defecation, incomplete emptying, or evacuation with digital support, as described in previous studies [1,2,3,4,5,6,7,8,9,10]. To date, various techniques of surgical repair for rectoceles have been introduced with a variety of outcomes [1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20]. However, the most promising procedure for these patients in terms of postoperative clinical outcome has not been clearly established.…”

Section: Introductionmentioning

confidence: 99%

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Changes in Bowel Function following Transanal and Transvaginal Rectocele Repair

Tsujinaka¹,

Tsujinaka²,

Matsuo³

et al. 2007

Dig Surg

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Aim: This study was designed to compare preoperative and postoperative bowel functions in patients with rectocele repair. Methods: Patients who underwent surgery for rectocele between October 1988 and October 2004 were enrolled. Prior to surgery, the patients were asked to complete a questionnaire regarding evacuation difficulty, itching, fecal incontinence, and the need for digitation. Surgery was performed either transanally (group I) or transvaginally (group II). At follow-up after 12 months, the same questionnaire was obtained in the outpatient clinic or by mail to evaluate preoperative and postoperative changes in bowel function. Results: There were 71 patients in group I and 40 patients in group II. The median age was 56 years in group I and 67 years in group II. The evacuation difficulty was significantly improved in both group I (p < 0.001) and group II (p < 0.001). Incontinence to flatus was slightly increased in group I (p = 0.33) and group II (p = 0.6). Incontinence to solid stool was not statistically different in either group. The need for digitation was markedly improved in group I (p < 0.001) and group II (p = 0.0017). Conclusion: Although surgery for rectocele potentially increases the risk of fecal incontinence, it may be indicated if presented with evacuation difficulty necessitating digitation.

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“…The effi cacy of surgical procedures employed for correcting the disturbed sexual activity in pelvic fl oor disorders that include prolapse of uterus, cervix, vagina, bladder, rectum, that leads to incontinence problems, are controversial. Some studies revealed that sexual activity did not change after the surgical management of pelvic relaxation syndromes and some have found improved or negative results [95][96][97][98][99][100] . We have also studied the surgical management of stress urinary incontinence using a TVT (tension-free vaginal type) procedure and its postoperative impacts on sexual activity [101] .…”

Section: Surgical Treatmentmentioning

confidence: 99%

Progress in Female Sexual Dysfunction

Verit¹,

Yeni²,

Kafalı³

2006

Urol Int

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Introduction: Female sexual dysfunction (FSD) is a significant age-related, progressive and highly prevalent problem that affects a substantial number of women that causes personal distress and has negative effects on quality of life and interpersonal relationships. Definitions: The female sexual response cycle consists of three phases: desire, arousal, and orgasm, and is initiated by non-adrenergic/non-cholinergic, e.g. vasoactive intestinal polypeptide and nitric oxide, neurotransmitters that maintain vascular and non-vascular smooth muscle relaxation resulting in increased pelvic blood flow, vaginal lubrication, and clitoral and labial engorgement. Furthermore, hormonal status may influence female sexual function. For the diagnosis of FSD, a detailed history should be taken initially, followed by a physical examination and laboratory studies. Conclusion: Due to the fact that there has been little research and attention on FSD, our knowledge in this field is quite limited and there is still no approved therapy. Future advances in evaluation and treatment of female sexual problems are forthcoming.

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Results of anterior levatorplasty for rectocele

Abstract: Anterior levatorplasty provides good short and long-term symptomatic improvement in patients with rectocele and avoids complications associated with rectal or vaginal approaches.

Cited by 19 publications

References 20 publications

Transvaginal anterior levatorplasty with posterior colporrhaphy for symptomatic rectocele

Transvaginal anterior levatorplasty with posterior colporrhaphy for symptomatic rectocele

Changes in Bowel Function following Transanal and Transvaginal Rectocele Repair

Progress in Female Sexual Dysfunction

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