Vertical Versus Horizontal Plicataion in Transperienal Repair of Rectocele

Mansoura University

Status: Completed

Conditions: Rectocele

Treatments: Procedure: Vertical plication; Procedure: Horizontal plication

Study type: Interventional

Funder types: Other

Identifiers

NCT04502953

Mansoura20201

Details and patient eligibility

About

We assumed that the technique of plication of the rectovaginal septum and rectal wall may factor in providing better and more sustained repair that confers more satisfactory improvement in symptoms. The present randomized study aimed to evaluate the outcome of TPR with vertical plication of the rectovaginal septum as compared to the horizontal plication with regards to improvement in ODS, recurrence of rectocele, postoperative complications and dyspareunia.

Enrollment: 40 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Vertical plication of the rectovaginal septum was done

Exclusion criteria

• patients with ODS caused by conditions other than rectocele such as anismus and internal rectal prolapse
• patients with slow transit constipation.
• patients with recurrent rectocele after previous surgery.
• patients with pre-existing FI
• patients with associated anorectal pathology.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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40 participants in 2 patient groups

Vertical plication

Active Comparator group

Description:

Vertical plication of the rectovaginal septum was done

Treatment:

Procedure: Vertical plication

Horizontal plication

Active Comparator group

Description:

Horizontal plication of the rectovaginal septum was done

Treatment:

Procedure: Horizontal plication