[Cure of rectocele by vaginal way].
Rectocele is a rectal hernia through the posterior vaginal wall. There is three levels of rectocele. High rectocele is caused by the uterosacral and cardinal ligaments stretching; it needs prerecti fascia placation with a sacrofixation of an associated prolapsus of uterus or vaginal vault. The middle rectocele is linked with a rectovaginal fascia defect; the preferential choice for middle rectocele is midline fascial plication; superior myoraphy gives dyspareunia. The inferior rectocele results of a destruction of the perineal body; the treatment is a myoraphy with vulvoraphy. Complete rectocele would be an indication for a posterior mesh.
Cortesse
A
A
Service d'Urologie, Hôpital Saint-Louis, AP-HP, 1 Avenue Claude-Vellefaux, 75010 Paris, France. ariane.cortesse@sls.aphp.fr
Haab
F
F
Costa
P
P
Delmas
V
V
D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D020047:Rectocele / Q000601:surgery*; D014621:Vagina