Vertical Versus Horizontal Plicataion in Transperienal Repair of Rectocele

Mansoura University40 enrolled

Overview

We assumed that the technique of plication of the rectovaginal septum and rectal wall may factor in providing better and more sustained repair that confers more satisfactory improvement in symptoms. The present randomized study aimed to evaluate the outcome of TPR with vertical plication of the rectovaginal septum as compared to the horizontal plication with regards to improvement in ODS, recurrence of rectocele, postoperative complications and dyspareunia.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Rectocele

Interventions

Vertical plicationPROCEDURE

Vertical plication of the rectovaginal septum was done

Horizontal plicationPROCEDURE

Horizontal plication of the rectovaginal septum was done

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Vertical plication of the rectovaginal septum was done Exclusion Criteria: * patients with ODS caused by conditions other than rectocele such as anismus and internal rectal prolapse * patients with slow transit constipation. * patients with recurrent rectocele after previous surgery. * patients with pre-existing FI * patients with associated anorectal pathology.

Locations (1)

Mansoura university hospital

Al Mansurah, Dakahlia Governorate, Egypt

Outcomes

Primary Outcomes

Complete cure of symptoms

Absence of symptoms of constipation with Wexner score \<2

Time frame: 12 months after repair

Data from ClinicalTrials.gov

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