Long-term comparison of physiologic anorectal changes and recurrence between transanal repair and transanal repair with posterior colporrhaphy in rectocele
Summary: Background: Rectocele is often associated with chronic constipation. Various surgical techniques have been described to repair rectoceles, but the results vary. The aim of this study was to compare the outcomes of transanal repair (TAR) and transanal repair with posterior colporrhaphy (TAR...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-01-01
|
| Series: | Asian Journal of Surgery |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958419301289 |
| _version_ | 1818251985639440384 |
|---|---|
| author | Joo Hyung Kim Dae Hyun Kim Yong Pyo Lee |
| author_facet | Joo Hyung Kim Dae Hyun Kim Yong Pyo Lee |
| author_sort | Joo Hyung Kim |
| collection | DOAJ |
| description | Summary: Background: Rectocele is often associated with chronic constipation. Various surgical techniques have been described to repair rectoceles, but the results vary. The aim of this study was to compare the outcomes of transanal repair (TAR) and transanal repair with posterior colporrhaphy (TAR + PC). Methods: While 44 patients underwent TAR, 49 patients underwent TAR + PC for surgical repair of rectocele. Patients were followed up 3 months post-surgery for anorectal physiological changes. From the entire cohort of patients who underwent the surgical repair, 22 patients who underwent TAR and 25 patients who underwent TAR + PC agreed to participate in the 3-year post-treatment check-up. Results: Out of the 22 patients who underwent TAR, 3 patients (13.6%) scored more than 15 on the constipation scoring system (CSS), while 1 out of 25 patients who underwent TAR + PC scored more than 15 on the CSS 3 months post-treatment, which is considered as recurrence (p = 0.237). With 7 patients from the TAR group (31.8%) and 2 patients from the TAR + PC group (8.0%) showing recurrence of rectocele at 3-year post-treatment follow-up, this study found that TAR + PC had a much lower rate of recurrence than TAR. Furthermore, TAR + PC was found to be more effective than TAR in terms of rectal sensation, sensory threshold (p = 0.001), and early defecation urge (p = 0.003). Conclusions: TAR + PC can help alleviate some symptoms by restoring the rectal sensation and improving the rectovaginal septum. It can be inferred that the addition of a simple treatment method can lead to a lower rate of recurrence. Keywords: Posterior colporrhaphy, Rectocele, Transanal rectocele repair |
| first_indexed | 2024-12-12T16:16:59Z |
| format | Article |
| id | doaj.art-1cb36a94947441f1856f320676b6f321 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-12-12T16:16:59Z |
| publishDate | 2020-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-1cb36a94947441f1856f320676b6f3212022-12-22T00:19:04ZengElsevierAsian Journal of Surgery1015-95842020-01-01431265271Long-term comparison of physiologic anorectal changes and recurrence between transanal repair and transanal repair with posterior colporrhaphy in rectoceleJoo Hyung Kim0Dae Hyun Kim1Yong Pyo Lee2Department of Surgery, Ajou University School of Medicine, Suwon, Republic of Korea; Corresponding author. 164 Worldcup-ro, Youngtong-gu, Suwon, Gyeonggi-do, 16499 Republic of Korea. Fax: +82 31 219 5755.Department of Health Services Administration, University of Alabama at Birmingham, AL, USADepartment of Surgery, Hanvit Hospital, Suwon, Republic of KoreaSummary: Background: Rectocele is often associated with chronic constipation. Various surgical techniques have been described to repair rectoceles, but the results vary. The aim of this study was to compare the outcomes of transanal repair (TAR) and transanal repair with posterior colporrhaphy (TAR + PC). Methods: While 44 patients underwent TAR, 49 patients underwent TAR + PC for surgical repair of rectocele. Patients were followed up 3 months post-surgery for anorectal physiological changes. From the entire cohort of patients who underwent the surgical repair, 22 patients who underwent TAR and 25 patients who underwent TAR + PC agreed to participate in the 3-year post-treatment check-up. Results: Out of the 22 patients who underwent TAR, 3 patients (13.6%) scored more than 15 on the constipation scoring system (CSS), while 1 out of 25 patients who underwent TAR + PC scored more than 15 on the CSS 3 months post-treatment, which is considered as recurrence (p = 0.237). With 7 patients from the TAR group (31.8%) and 2 patients from the TAR + PC group (8.0%) showing recurrence of rectocele at 3-year post-treatment follow-up, this study found that TAR + PC had a much lower rate of recurrence than TAR. Furthermore, TAR + PC was found to be more effective than TAR in terms of rectal sensation, sensory threshold (p = 0.001), and early defecation urge (p = 0.003). Conclusions: TAR + PC can help alleviate some symptoms by restoring the rectal sensation and improving the rectovaginal septum. It can be inferred that the addition of a simple treatment method can lead to a lower rate of recurrence. Keywords: Posterior colporrhaphy, Rectocele, Transanal rectocele repairhttp://www.sciencedirect.com/science/article/pii/S1015958419301289 |
| spellingShingle | Joo Hyung Kim Dae Hyun Kim Yong Pyo Lee Long-term comparison of physiologic anorectal changes and recurrence between transanal repair and transanal repair with posterior colporrhaphy in rectocele Asian Journal of Surgery |
| title | Long-term comparison of physiologic anorectal changes and recurrence between transanal repair and transanal repair with posterior colporrhaphy in rectocele |
| title_full | Long-term comparison of physiologic anorectal changes and recurrence between transanal repair and transanal repair with posterior colporrhaphy in rectocele |
| title_fullStr | Long-term comparison of physiologic anorectal changes and recurrence between transanal repair and transanal repair with posterior colporrhaphy in rectocele |
| title_full_unstemmed | Long-term comparison of physiologic anorectal changes and recurrence between transanal repair and transanal repair with posterior colporrhaphy in rectocele |
| title_short | Long-term comparison of physiologic anorectal changes and recurrence between transanal repair and transanal repair with posterior colporrhaphy in rectocele |
| title_sort | long term comparison of physiologic anorectal changes and recurrence between transanal repair and transanal repair with posterior colporrhaphy in rectocele |
| url | http://www.sciencedirect.com/science/article/pii/S1015958419301289 |
| work_keys_str_mv | AT joohyungkim longtermcomparisonofphysiologicanorectalchangesandrecurrencebetweentransanalrepairandtransanalrepairwithposteriorcolporrhaphyinrectocele AT daehyunkim longtermcomparisonofphysiologicanorectalchangesandrecurrencebetweentransanalrepairandtransanalrepairwithposteriorcolporrhaphyinrectocele AT yongpyolee longtermcomparisonofphysiologicanorectalchangesandrecurrencebetweentransanalrepairandtransanalrepairwithposteriorcolporrhaphyinrectocele |