[Comparative evaluation of surgical methods of rectocele correction]

Sixty-three female patients with rectocele were examined before and after surgery. All the patients were divided into 3 groups. Patients of group 1 (n=22) have undergone transvaginal levatoroplasty, of group 2 (n=21)--transperineal levatoroplasty, and group 3 (n=20)--plastic repair of the rectovaginal septum with prolene net through the transperineal approach. Anatomic result, scores by Veksner's constipation scale, dejectiongraphy data (anorectal angle and prolapse of pelvic floor at rest and at dejection, depth of rectocele), sexual function. The recurrences have been revealed in 27.3% patients of group 1, in 9.5% patients of group 2, and in 5% patients of group 3. The worst functional results were achieved in group 2--a significant increase of Veksner's constipation scores (from 10.5 to 16.0), a drastic decrease of anorectal angle smoothing at dejection. The best sexual functional results were achieved in group 3--dyspareunia was diagnosed only in one patient. It is concluded that levatoroplasty should be avoided in female patients with obstructive dejection and in sexually active patients.