Pelvic posterior compartment defects: comparative study of two vaginal surgical procedures
This study was undertaken to compare two surgical techniques for rectocele repair. Between January 2005 and December 2010, 180 patients with III grade symptomatic rectocele were enrolled in this alternative prospective randomized study. 90 patients (group A) were treated with perineal body anchorage...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2013-11-01
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| Series: | Urogynaecologia International Journal |
| Subjects: | |
| Online Access: | http://www.urogynaecologia.org/index.php/uij/article/view/153 |
| _version_ | 1818013602389426176 |
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| author | Vito Leanza Eva Intagliata Gianluca Leanza Rosario Vecchio |
| author_facet | Vito Leanza Eva Intagliata Gianluca Leanza Rosario Vecchio |
| author_sort | Vito Leanza |
| collection | DOAJ |
| description | This study was undertaken to compare two surgical techniques for rectocele repair. Between January 2005 and December 2010, 180 patients with III grade symptomatic rectocele were enrolled in this alternative prospective randomized study. 90 patients (group A) were treated with perineal body anchorage of posterior septum, and 90 (group B) with the traditional Denonvilliers’ transversal suture. Pre- and post-operative data, including Ap and Bp values, recurrence rates and quality of life was assessed. The mean follow-up was 22 months (range 9-72 months). For statistical purpose, Student’s t test, chi-square test and logistic regression analysis were evaluated. Post-operatively, in group A Ap and Bp value were respectively –2.0±1.0 and –2.5±0.5 (P<0.001 for both values). In group B, Ap and Bp value were respectively –1.9±2.1 and –2.1±0.9 (P<0.001 for both values). A total of 81 (93.1%) patients in group A and 76 (86.3%) in group B reported improvement in symptoms (P=0.222) after surgery. Recurrence rates were 5 (5.7%) and 6 (6.8%) respectively (P=0.984). Quality of life improved significantly in both groups. In conclusion, both techniques are effective for the posterior compartment repair. |
| first_indexed | 2024-04-14T06:35:17Z |
| format | Article |
| id | doaj.art-2cdbe2810f824228ac2739902571dde3 |
| institution | Directory Open Access Journal |
| issn | 1121-3086 2038-8314 |
| language | English |
| last_indexed | 2024-04-14T06:35:17Z |
| publishDate | 2013-11-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Urogynaecologia International Journal |
| spelling | doaj.art-2cdbe2810f824228ac2739902571dde32022-12-22T02:07:30ZengPAGEPress PublicationsUrogynaecologia International Journal1121-30862038-83142013-11-0127110.4081/uij.2013.e593Pelvic posterior compartment defects: comparative study of two vaginal surgical proceduresVito Leanza0Eva Intagliata1Gianluca Leanza2Rosario Vecchio3Department of Surgery, University of CataniaDepartment of Surgery, University of CataniaDepartment of Surgery, University of CataniaDepartment of Surgery, University of CataniaThis study was undertaken to compare two surgical techniques for rectocele repair. Between January 2005 and December 2010, 180 patients with III grade symptomatic rectocele were enrolled in this alternative prospective randomized study. 90 patients (group A) were treated with perineal body anchorage of posterior septum, and 90 (group B) with the traditional Denonvilliers’ transversal suture. Pre- and post-operative data, including Ap and Bp values, recurrence rates and quality of life was assessed. The mean follow-up was 22 months (range 9-72 months). For statistical purpose, Student’s t test, chi-square test and logistic regression analysis were evaluated. Post-operatively, in group A Ap and Bp value were respectively –2.0±1.0 and –2.5±0.5 (P<0.001 for both values). In group B, Ap and Bp value were respectively –1.9±2.1 and –2.1±0.9 (P<0.001 for both values). A total of 81 (93.1%) patients in group A and 76 (86.3%) in group B reported improvement in symptoms (P=0.222) after surgery. Recurrence rates were 5 (5.7%) and 6 (6.8%) respectively (P=0.984). Quality of life improved significantly in both groups. In conclusion, both techniques are effective for the posterior compartment repair.http://www.urogynaecologia.org/index.php/uij/article/view/153rectoceleposterior compartmentprolapse. |
| spellingShingle | Vito Leanza Eva Intagliata Gianluca Leanza Rosario Vecchio Pelvic posterior compartment defects: comparative study of two vaginal surgical procedures Urogynaecologia International Journal rectocele posterior compartment prolapse. |
| title | Pelvic posterior compartment defects: comparative study of two vaginal surgical procedures |
| title_full | Pelvic posterior compartment defects: comparative study of two vaginal surgical procedures |
| title_fullStr | Pelvic posterior compartment defects: comparative study of two vaginal surgical procedures |
| title_full_unstemmed | Pelvic posterior compartment defects: comparative study of two vaginal surgical procedures |
| title_short | Pelvic posterior compartment defects: comparative study of two vaginal surgical procedures |
| title_sort | pelvic posterior compartment defects comparative study of two vaginal surgical procedures |
| topic | rectocele posterior compartment prolapse. |
| url | http://www.urogynaecologia.org/index.php/uij/article/view/153 |
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