AbstractThis retrospective observational study was de-signed to assess patients’satisfaction after anterior rectopexy, with or without sacropexy, for treatment of symptomatic rectocele in a group of women with anterior rectoceles.
Between February 1995 and March 2011, all female patients who underwent an anterior rectopexy for large (>grade 2) anterior rectocele were included in the study. Preoperatively, the rectocele was assessed at rectovaginal examination and a
defecography was performed. Rectovaginal examination was repeated in all patients 6 weeks postoperatively and a control defecography was performed 6 months after surgery. Follow-up included a standard telephone questionnaire and chart review. The surgical techniques used were anterior rectopexy (ARP;n=21) andARP + sacropexy (ARP + SP;n=20).Mean
age of the study group was 60 years (range=36–77) and median parity was 2.6 (range=0–8). Median follow-up from anterior ARP ± SP to functional assessment was 40 months (range=4–83). In both groups, two of the initial main clinical symptoms (discomfort due to feeling of prolapse and outlet obstruction) improved significantly (pgrade 2) anterior rectocele