A prospective study of the discrete XXXX rectocele repair.

@entity1 @entity546 @entity4438 @entity3622
BACKGROUND: The aim of this study is to describe the results of the discrete @entity4438 rectocele repair with special emphasis on @entity546 after the operation. METHODS: Sixty-seven @entity1 underwent rectocele repair from October 1997 to January 1999. Repair was limited to reapproximation of discrete defects in the @entity3622 when possible and a small perineorrhaphy. Each @entity1 was evaluated as to whether or not a discrete defect was present and the location of the @entity4438 . Outcome measures were complications, recurrent prolapse after 3 months, changes in defecation problems and @entity546 after the operation. RESULTS: In 96% (64/67) of the @entity1 a discrete defect was present. Before the operation 40% (27/67) reported problems with evacuation of the rectum and 12% (8/67) @entity546 or problems with intercourse because of the prolapse. The @entity1 were evaluated 3 months after the operation. Only three @entity1 still complained of evacuation problems and only two @entity1 with prior @entity546 still had problems, which were cured after a further 3 months. Two @entity1 had de novo @entity546 but in only one @entity1 was an anatomical defect found. CONCLUSIONS: The discrete defect rectocele repair offers an anatomical correction of the rectocele, which alleviates the symptoms but, most important, does not give the @entity1 @entity546 . Long term results of the operation are awaited.
