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Updated: Oct 5, 2025
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Midline rectovaginal fascial plication: Anatomical and functional outcomes at one year
Alice Bedel1, Aubert AgostinI1, Antoine Netter1
1Aix Marseille University (AMU), AP-HM, Hôpital de la Conception, Marseille, France.
Objectives:
To evaluate anatomical and functional results at one year of midline rectovaginal fascial plication (MFP) for rectocele.
Material And Methods:
Single-center observational study performed in a gynecologic-obstetrics department of a university hospital. Inclusion criteria were patients with isolated or associated rectocele treated by MFP. The success rate defined by a Bp point < 0 cm, improvement of symptoms, and satisfaction were evaluated at one year. Quality of life questionnaires were distributed pre- and postoperatively at one year.
Results:
34/46 (74%) patients were interviewed pre and postoperatively including a POPQ evaluation in only 30 patients. Anatomical success rate was 28/30 (93%) (p < 0.0001). There was an improvement in the sensation of vaginal bulge with 22/34 patients (65%) no longer having this symptom (p < 0.0001) and only one patient (1/34, 3%) underwent surgery for recurrence of the rectocele. 24/34 patients (71%) were satisfied with their surgery at one year.
Conclusion:
Anatomical and functional results of MFP for rectocele are encouraging and must be confirmed on a longer follow up.
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