Transperineal rectocele repair with polyglycolic acid mesh: a case series.
OBJECTIVE
This study was designed to evaluate the outcome of transperineal rectocele repair using polyglycolic acid mesh.


METHODS
Eighty-three consecutive females with predominant, symptomatic Stage II or Stage III rectocele underwent transperineal rectocele repair using polyglycolic acid (Soft PGA Felt(R)) mesh and finished their six-month follow-up. No additional interventions, including levatoroplasty or perineorraphy, were performed. The preoperative and postoperative symptom scores and stages of the posterior vaginal wall prolapse were recorded. The end points were reassessed at six months, postoperatively.


RESULTS
Preoperatively, 39 patients had Stage II and 44 patients had Stage III rectocele. The mean total symptom score was 9.87 +/- 1.93, which was reduced to 1.62 +/- 0.59 postoperatively (P < 0.0001). Objective evaluation of anatomic repair revealed that 74 patients (89.2 percent) had anatomic cure. Surgical complications were seen in a total of seven patients (8.4 percent), including hemorrhage (3.6 percent) and wound infection (4.8 percent). Mesh erosion, mesh infection, or worsening of sexual function was not noted.


CONCLUSIONS
Transperineal repair of rectocele with the polyglycolic acid mesh is an efficient therapy for patients with rectocele. It is highly successful in eliminating symptoms of obstructed defecation, and it is free of significant complications.
Gazi University Medical School, Department of Surgery, Colorectal Surgery Unit, Ankara, 06500, Turkey.
Sezai
S
Leventoğlu
B Bülent
BB
Menteş
Murat
M
Akin
Melike
M
Karen
Ahmet
A
Karamercan
Mehmet
M
Oğuz
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010502:Perineum / Q000601:surgery*; D011100:Polyglycolic Acid; D011446:Prospective Studies; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000295:instrumentation*; D020047:Rectocele / Q000601:surgery*; D013526:Surgical Mesh; D016896:Treatment Outcome
D011100:Polyglycolic Acid