[Surgical treatment of rectocele].

Abstract

Results of surgical treatment of 163 female patients with rectocele aged 22-62 years were analyzed. Patients were divided into 3 groups: 68 women after transvaginal levatoroplasty formed the 1st group, 2nd group formed 73 patients after transperineal levatoroplasty and 22 patients after alloplasty of rectovaginal wall with prolene mesh presented the 3rd group. Differential individual approach is necessary by choosing the method of operative treatment. Levatoroplasty maintains or causes pathologic puborectal spasm in 90%. It leads to increase, maintenance or appearance of obstructive defecation. Preoperative defecography can not prognose the functional result of the operation. Transperineal levatoroplasty and rectovaginal wall alloplasty provide successful anatomic results, 90,5 and 95%, correspondingly.