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Abstract:
BACKGROUND:Methods of treatment of rectocele include transperineal, transvaginal, and transanal approaches, and ventral rectopexy. OBJECTIVE:The present randomized study aimed to compare the outcome of transperineal repair and transvaginal repair of anterior rectocele. DESIGN:Randomized, single-blinded clinical trial. SETTING:Colorectal Surgery Unit, Mansoura University Hospitals. PATIENTS:Adult female patients with anterior rectocele complaining of obstructed defecation syndrome. INTERVENTIONS:Surgical treatment of anterior rectocele via transperineal or transvaginal approach. MAIN OUTCOME MEASURES:Improvement in constipation, operation time, hospital stay, complications, changes in anal pressures, improvement in sexual-related quality of life assessed by the PISQ-12 questionnaire, and incidence of dyspareunia postoperatively. RESULTS:Sixty-four female patients of a mean age of 43.5 years were entered into the trial. There was no significant difference between the two groups regarding the operation time. Transperineal repair had significantly longer hospital stay than transvaginal repair (2.4 Vs 2.1 days, p=0.03). There was no significant difference between both groups regarding postoperative complications and recurrence of rectocele. Significant decrease in the constipation scores was recorded in both groups at 6 and 12 months after surgery. The decrease in the constipation scores after transvaginal repair was significantly higher than after transperineal repair at 6 and 12 months postoperatively. While resting and squeeze anal pressures were significantly increased at 12 months after transperineal repair, they did not show significant change after transvaginal repair. Improvement in sexual-related quality of life was significantly higher in the transvaginal repair than the transperineal repair group at 6 and 12 months after surgery. Dyspareunia improved after transvaginal repair and worsened after transperineal repair, yet this change was insignificant. LIMITATIONS:Single center study comprising relatively small number of patients. CONCLUSION:Transvaginal repair of rectocele achieved better improvement in constipation and sexual-related quality of life than transperineal repair. Changes in dyspareunia after both techniques were not significant. See Video Abstract at http://links.lww.com/DCR/B148 TRIAL REGISTRATION:: Clinicaltrials. gov identifier: NCT03801291.
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最新影响因子:4.412 | 期刊ISSN:0012-3706 | CiteScore:2.57 |
出版周期:Monthly | 是否OA:YES | 出版年份:1958 |
期刊官方网址:http://link.springer.com/journal/10350
期刊投稿地址:https://www.springer.com/medicine/surgery/journal/10350
自引率:9.80% | 研究方向:医学-外科 |
出版地区:UNITED STATES |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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Diseases of the Colon and Rectum is published monthly for the American Society of Colon and Rectal Surgeons. It is designed for the publication of original papers that constitute significant contributions to the advancement of knowledge within the special field designated by the name of this journal. Discontinued in 2004.
《结肠直肠疾病》是美国结肠直肠外科学会出版的月刊。它旨在发布原始论文,这些论文对本期刊所指定的特殊领域内的知识进步做出了重大贡献。于2004年停产。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
GASTROENTEROLOGY & HEPATOLOGY (胃肠肝病学) 3区 SURGERY (外科) 2区 |
26/80 26/200 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
135 | 131 | 4 |
引文计数(2018)
文献(2015-2017)
1825次引用
711篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Gastroenterology
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#34/128
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研究方向:-
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ISSN:0305-7453
研究方向:医学-传染病学
发表一篇学和医学成像类SCI论文
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