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Does surgery resolve outlet obstruction from rectocele?

A Infantino1, A Masin, E Melega

  • 1Clinica Chirurgica II, Università degli Studi, Padova, Italy.

International Journal of Colorectal Disease
|January 1, 1995
PubMed
Summary
This summary is machine-generated.

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Plastic surgery effectively treats rectocele-related outlet obstruction. Block's transanal plication technique is recommended for its simplicity and efficacy in resolving defecatory difficulties.

Area of Science:

  • Colorectal Surgery
  • Pelvic Floor Disorders
  • Gastroenterology

Background:

  • Outlet obstruction is a common defecatory disorder.
  • Rectocele is a significant contributing factor to outlet obstruction.
  • Surgical interventions aim to correct anatomical defects and improve bowel function.

Purpose of the Study:

  • To evaluate the efficacy of surgical repair for rectocele-induced outlet obstruction.
  • To compare two surgical techniques: Block's transanal plication and colpoperineoplasty.
  • To determine the long-term outcomes and recurrence rates.

Main Methods:

  • Retrospective study of 21 women with rectocele and outlet obstruction.
  • Group A: 13 patients underwent transanal longitudinal plication (Block's technique).

Related Experiment Videos

  • Group B: 8 patients underwent colpoperineoplasty, with 2 also receiving bladder-neck suspension.

    • Main Results:

    • Successful treatment or improvement was observed in 80.9% of Group A and 75% of Group B patients.
    • Recurrent rectocele occurred in 2 patients (one from each group).
    • Colonic constipation was identified in 2 patients (one from each group).

    Conclusions:

    • Surgical correction of rectocele can effectively resolve outlet obstruction.
    • Block's transanal plication technique is a straightforward and preferred surgical option.
    • Further investigation may be needed for persistent colonic constipation.