Outcome of site-specific fascia repair for rectocele.
BACKGROUND
This article presents the anatomic and functional outcome of site-specific fascia repair for rectocele performed under local anesthesia. Methods. In this case series, 51 consecutive patients underwent site-specific rectocele repair under local anesthesia. Patients were subsequently reviewed in the outpatient clinic.


RESULTS
The mean follow-up period was 26.7 months. Pelvic examination revealed recurrence of posterior vaginal wall prolapse in 31% (16/51). Improvement in emptying the rectum was achieved in 23% (7/30), and 23% (7/30) were relieved from constipation. One patient developed de novo dyspareunia. Some 92% of the patients (47/51) would recommend local anesthesia.


CONCLUSIONS
Anatomic correction of posterior vaginal wall prolapse does not guarantee alleviation of all symptoms, especially those regarding defecation; however, postoperative dyspareunia levels are low. The use of local anesthesia is associated with high patient satisfaction. Patients should be informed that total recovery from accompanying subjective symptoms cannot be guaranteed.
Sardeli
Chrysanthi
C
Department of Gynecology and Obstetrics, Aarhus University Hospital, Skejby Hospital, Aarhus, Denmark. cs@ana.au.dk
Axelsen
Susanne M
SM
Kjaer
Daniel
D
Bek
Karl M
KM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000071938:Fasciotomy; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D020047:Rectocele / Q000473:pathology / Q000601:surgery*; D012720:Severity of Illness Index; D016896:Treatment Outcome