Outcome of Vertical Versus Horizontal Plicataion in Transperienal Repair of Rectocele; a Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Mansoura University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Complete cure of symptoms
Study Overview
Brief Summary
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 75 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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.
Arms & Interventions
Vertical plication
Vertical plication of the rectovaginal septum was done
Intervention: Vertical plication (Procedure)
Horizontal plication
Horizontal plication of the rectovaginal septum was done
Intervention: Horizontal plication (Procedure)
Outcomes
Primary Outcomes
Complete cure of symptoms
Time Frame: 12 months after repair
Absence of symptoms of constipation with Wexner score \<2
Secondary Outcomes
No secondary outcomes reported