Functional and Sexual Outcomes After Laparoscopic Ventral Mesh Rectopexy for Complex Rectocele

Mansoura University15 enrolled

Overview

The ideal surgical strategy for treating complex rectocele remains a topic for debate, with the transanal, transperineal, and transvaginal approach and the abdominal approach being at conflict with one another. While the transvaginal repair is more popular among gynecologists, the trans abdominal approach has become increasingly common among colorectal surgeons, in part due to the rising demand for minimally invasive surgery.

For the treatment of rectoceles and ODS in general, the laparoscopic method has recently come to light as a promising alternative. Laparoscopic ventral mesh rectopexy (LVMR) was originally described for the management of rectal prolapse. However, It was also recommended with encouraging results for the treatment of large symptomatic rectocele. The present study aims to evaluate the safety and efficacy of LVMR for complex rectocele.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Rectocele Obstructive Defecation Syndrome

Interventions

laparoscopic ventral mesh rectopexyPROCEDURE

patients are treated by laparoscopic ventral mesh rectopexy for anterior rectocele

Eligibility

Sex: FEMALEMin age: 30 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * multiparous female patients. * aged between 30 and 60 years * who were diagnosed with complex anterior rectocele- more than 3cm after failed medical treatment- with history of either vaginal delivery or caesarian section. * complex rectocele was one having any of the following features: size \> 3 cm in diameter, associated enterocoele or internal rectal prolapse Exclusion Criteria: * paradoxical contraction of puborectalis muscle (anismus), * complete external rectal prolapse * fecal incontinence * other benign anal conditions * those who are unfit for surgery due to associated severe co-morbidities

Locations (1)

Ahmad

Al Mansurah, Egypt

Outcomes

Primary Outcomes

changes in the Wexner constipation score

improvement in constipation, if the score is decreasing this means improving

Time frame: 6 months

Secondary Outcomes

sexual function changes

changes in the sexual function score post operative (Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire score(PISQ-12). The lower the score the better the function.

Time frame: 6 months

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.