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

Not Applicable
Completed
Conditions
Rectocele
Registration Number
NCT02659176
Lead Sponsor
Mansoura University
Brief Summary

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

Detailed 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.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
60
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.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Incidence of recurrence18 months

Number of patients presenting with recurrent or persistent symptoms during follow up

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Mansoura university hospital

🇪🇬

Mansoura, Dakahlia, Egypt

Mansoura university hospital
🇪🇬Mansoura, Dakahlia, Egypt

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