Prospective analysis of marlex mesh repair for symptomatic rectocele with obstructive defecation.
OBJECTIVE
Evaluation of perineoplasty with marlex mesh in symptomatic rectocele with obstructive defecation and evaluation of the incidence of postobstetric perineal tear in patients with symptomatic rectocele.


METHODS
Prospective analysis of 11 consecutive patients undergoing elective rectocele repair. Prospective analysis of sphicnter postobstetric tears in patients with rectocele.


RESULTS
Incidence of postobstetric perineal tears in 100 per cent of patients. Absence of obstructive defecation symptoms in 100 per cent of patients. Mesh displacement in 5/8 cases.


CONCLUSIONS
Endoanal ultrasound secreening in patients with symptomatic rectocele is mandatory. Prosthetic repair eliminates obstructive defecation symptoms in 100 per cent of patients. Mesh is well tolerated although it has to be fixed in the suprasphincteric area and with non reabsorbable stitches.
Planells Roig
M
M
Instituto de Cirugía General y Aparato Digestivo (ICAD), Clínica Quirón de Valencia, Avda Blasco Ibañez, 14, 46010 Valencia, Spain. mplanells@bsab.com
Sanahuja Santafe
A
A
García Miranda de Larra
J L
JL
García Espinosa
R
R
Serralta Serra
A
A
D000328:Adult; D003672:Defecation / Q000502:physiology*; D036861:Delivery, Obstetric / Q000009:adverse effects*; D005242:Fecal Incontinence; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011446:Prospective Studies; D020047:Rectocele / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D013526:Surgical Mesh; D016896:Treatment Outcome; D014463:Ultrasonography