Document Detail

Persistent symptoms of functional outlet obstruction after rectocele repair.
MedLine Citation:
PMID:  17298626     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Rectocele is frequently associated with constipation, but it is not known whether a causal relationship exists. OBJECTIVE: To determine the effect of rectocele repair on symptoms of constipation. METHOD: Thirty-five women (28-79 years) consecutively operated for rectocele repair (11 transanal approach and 24 transperineal) were included in the prospective study. Using a structured questionnaire, the following criteria for constipation were evaluated: (a) straining, (b) sensation of anal blockage, (c) sensation of incomplete evacuation, (d) manual manoeuvres to facilitate defecation, (e) stool consistency and (f) stool frequency. The evaluation was performed before and 1 year after rectocele repair. RESULTS: Before the operation all patients had two or more constipation criteria, including sensation of anal blockage. One year after the operation, the incidence of all symptoms significantly improved (from 3.9 +/- 0.2 to 1.9 +/- 0.3; P < 0.01). However, in 18 patients two or more criteria of constipation persisted, two patients presented one criterion, and only 15 patients became asymptomatic. Neither parity nor the type of surgical approach (endorectal vs transperineal) was related to the response to treatment. In eight patients who had a previous hysterectomy the result was significantly worse. CONCLUSION: In a considerable proportion of patients, constipation persists after rectocele repair, suggesting that these symptoms are related to an underlying dysfunction.
A Puigdollers; X Fernández-Fraga; F Azpiroz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  9     ISSN:  1462-8910     ISO Abbreviation:  Colorectal Dis     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-02-14     Completed Date:  2007-04-20     Revised Date:  2007-08-24    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  262-5     Citation Subset:  IM    
Proctology Unit, Hospital of Mollet, Barcelona, Spain.
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MeSH Terms
Constipation / etiology,  physiopathology*
Follow-Up Studies
Middle Aged
Rectocele / complications,  surgery*
Retrospective Studies
Time Factors
Treatment Outcome
Comment In:
Colorectal Dis. 2007 Jul;9(6):573-4; author reply 574-5   [PMID:  17573757 ]

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