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22-05-2023 | Anal Surgery | Original Article

Preoperative predictors of success after transvaginal rectocoele repair

Authors: Linda Ferrari, Karina Cuinas, Alison Hainsworth, Amir Darakhshan, Alexis Schizas, Cornelius Kelleher, Andrew Brian Williams

Published in: Techniques in Coloproctology | Issue 10/2023

Abstract

Purpose

Determine predictors of success for transvaginal rectocoele repair (TVRR). Primary aim is to establish predictors of successful treatment analysing patients’ characteristics, baseline symptoms, pelvic floor test results and pre-operative conservative treatment.

Methods

Retrospective single institution study in a tertiary referral centre for pelvic floor disorders. 207 patients underwent TVRR for symptomatic rectocoele. Information about symptoms related to obstructive defaecation, anal incontinence and vaginal prolapse, results of pelvic floor investigations, multimodality conservative management and variation in surgical technique have been recorded. Symptom related information have been collected at surgical follow-up.

Results

115 patients had residual symptoms after surgical repair of rectocoele, while 97 were symptoms free. Factors associated with residual symptoms after surgical repair are previous proctological procedures, urge AI symptoms, absence of vaginal bulge symptoms, use of transanal irrigation and having a concomitant enterocoele repair during procedure.

Conclusion

Factors able to predict a less favourable outcome after TVRR in patients with concomitant ODS are previous proctological procedures, presence of urge AI, short anal canal length on anorectal physiology, seepage on defaecating proctography, use of transanal irrigation, absence of vaginal bulge symptoms and enterocoele repair during surgery. These information are important for a tailored decision making process and to manage patients’ expectations before surgical repair.

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Title: Preoperative predictors of success after transvaginal rectocoele repair
Authors: Linda Ferrari
Karina Cuinas
Alison Hainsworth
Amir Darakhshan
Alexis Schizas
Cornelius Kelleher
Andrew Brian Williams
Publication date: 22-05-2023
Publisher: Springer International Publishing
Keywords: Anal Surgery
Anal Surgery
Published in: Techniques in Coloproctology / Issue 10/2023
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI: https://doi.org/10.1007/s10151-023-02822-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Preoperative predictors of success after transvaginal rectocoele repair

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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