Trans-perineal Repair With or Without Limited Internal Sphincterotomy for Treatment of Type I Anterior Rectocele

Mansoura University

Status

Completed

Conditions

Rectocele

Treatments

Procedure: Transperineal repair without PIS

Procedure: Transperineal repair with PIS

Study type

Interventional

Funder types

Other

Identifiers

NCT02659176

mansoura31

Details and patient eligibility

About

Comparison between transperineal repair of rectocele with or without posterior internal sphincterotomy.

Full description

Transperineal repair of anterior rectocele is performed in two groups of patients, the first will undergo limited posterior internal sphincterotomy, the second group will not have internal sphincteroromy. The two groups are compared regarding recurrence of rectocele and improvement of symptoms.

Enrollment

60 patients

Sex

Female

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients with anterior rectocele

Exclusion criteria

Pregnant females
Rectocele with pelvic organ prolapse
Any patient with previous anorectal surgery
Pudendal nerve neuropathy
Anal fistula and sepsis
Patients with sphincter defect proved by endo-anal sonography
Patients proved to have colonic inertia either by colon transit time and/or history
Patients with defecography anomalies causing obstructed defecation other than rectocele (e.g. Anismus).
Also patients with vascular diseases, scleroderma, malnutrition, and coagulopathy were excluded.