Disabling rectocele: rectal plication by perineal approach. Apropos of 20 cases
Lehur, P.A.; Bruley Des Varannes, S.; Moyon, J.; Guiberteau-Canfrere, V.; Le Borgne, J.
Chirurgie; Memoires de l'Academie de Chirurgie 118(9): 516
1992
ISSN/ISBN: 0001-4001 PMID: 1344785 Document Number: 390561
Rectocele is a frequent rectal static disorder. Its usual clinical manifestation is a distressing outlet obstruction. Surgical treatments actually proposed are based on a trans-anal approach. Perineal approach has specific interests as shown on a consecutive series of 20 patients operated on between January 90 and January 92. The surgical modalities were, after mobilization of the recto-vaginal wall, careful concentric folding of the rectocele followed by suturing the rectal fascia and pre-anal levatorplasty without associated colpectomy. Results (mean follow-up: 15 months) showed: 1) anatomic correction obtained in 18 cases, without local complications, but one dyspareunia, 2) restoration of normal rectal evacuation in 16 cases. The 4 functional failures were observed in patients with associated anorectal disorders (anismus, colon inertia).