Authors: A López B Anzén S Bremmer A Mellgren B Y Nilsson J Zetterström B Holmström
Publish Date: 2014/02/22
Volume: 12, Issue: 2, Pages: 97-103
Abstract
The purpose of the study was to determine the durability of success after rectocele repair and to evaluate parameters that might influence longterm results Twentyfive patients with rectocele were prospectively evaluated both clinically and physiologically Followup was performed twice at 1 and 51 years postoperatively Twentyfour patients had a longterm followup 21/23 patients 91 with preoperative symptoms of rectal emptying difficulty reported improvement of their symptoms and 9 of 12 75 with preoperative symptoms of pelvic heaviness reported relief at longterm followup All 5 patients with preoperative pathologic transit study had various degrees of rectal emptying difficulty at longterm followup Three of 5 patients with preoperative paradoxical sphincter reaction PSR at electromyography EMG reported improvement of the symptoms of rectal emptying difficulty at longterm followup Surgery for rectocele is associated with improved symptoms in a majority of patients which are sustained long term Patients with pathologic transit study may have a less favorable symptomatic outcome The clinical significance of PSR needs further study
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