Clinical observation of a modified surgical method: posterior vaginal mesh suspension of female rectocele with intractable constipation.
OBJECTIVE
To explore the feasibility and effectiveness of a modified posterior vaginal mesh suspension method in treating female rectocele with intractable constipation.


METHODS
Descriptive study (Canadian Task Force classification II-3).


METHODS
The study was performed in the Study Center for Female Pelvic Dysfunction Disease, Department of Obstetrics and Gynecology, Tongji Hospital, Tongji University School of Medicine, Shanghai, China. The Study Center includes 15 physicians, most of whom have received advanced training in pelvic floor dysfunctional disease and can skillfully perform many types of operations in patients with such disease. Almost 1500 operations to treat pelvic floor dysfunctional disease are performed every year at the center.


METHODS
Thirty-six women with rectocele with intractable constipation.


METHODS
Posterior vaginal mesh suspension.


RESULTS
All patients were followed up for 15 to 36 months. In 29 patients, the condition was cured completely; in 5 patients it had improved; and in 2 patients, the intervention had no effect. Insofar as recovery and improved results, the overall effectiveness rate was 94.4%.


CONCLUSIONS
Posterior vaginal mesh suspension is an effective, harmless, and convenient method for treatment of female rectocele with intractable constipation. It has positive short-term curative effects, with few complications and sequelae. However, the long-term effects of posterior vaginal mesh suspension should be evaluated.
Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai 200072, China.
Ling
L
Hong
Huai-Fang
HF
Li
Jing
J
Sun
Jian-Long
JL
Zhu
Gui-hai
GH
Ai
Li
L
Li
Bo
B
Zhang
Feng-li
FL
Chi
Xiao-Wen
XW
Tong
D000368:Aged; D016063:Blood Loss, Surgical; D003248:Constipation / Q000209:etiology* / Q000601:surgery; D003672:Defecation; D019841:Defecography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D061646:Operative Time; D010149:Postoperative Pain / Q000209:etiology; D020047:Rectocele / Q000150:complications / Q000601:surgery*; D013526:Surgical Mesh; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*