Functional and Sexual Outcomes After Laparoscopic Ventral Mesh Rectopexy for Complex Rectocele

Study Overview
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Brief Summary
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The ideal surgical strategy for treating complex rectocele remains a topic for debate, with the transanal, transperineal, and transvaginal approach and the abdominal approach being at conflict with one another. While the transvaginal repair is more popular among gynecologists, the trans abdominal approach has become increasingly common among colorectal surgeons, in part due to the rising demand for minimally invasive surgery.

Detailed Description
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For the treatment of rectoceles and ODS in general, the laparoscopic method has recently come to light as a promising alternative. Laparoscopic ventral mesh rectopexy (LVMR) was originally described for the management of rectal prolapse. However, It was also recommended with encouraging results for the treatment of large symptomatic rectocele. The present study aims to evaluate the safety and efficacy of LVMR for complex rectocele.

Official Title
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Functional and Sexual Outcomes After Laparoscopic Ventral Mesh Rectopexy for Complex Rectocele

Conditions
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Rectocele, Obstructive Defecation Syndrome

Intervention / Treatment
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* Procedure: laparoscopic ventral mesh rectopexy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: multiparous female patients. aged between 30 and 60 years who were diagnosed with complex anterior rectocele- more than 3cm after failed medical treatment- with history of either vaginal delivery or caesarian section. complex rectocele was one having any of the following features: size > 3 cm in diameter, associated enterocoele or internal rectal prolapse Exclusion Criteria: paradoxical contraction of puborectalis muscle (anismus), complete external rectal prolapse fecal incontinence other benign anal conditions those who are unfit for surgery due to associated severe co-morbidities

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: laparoscopic ventral mesh rectopexy arm<br>those who were underwent laparoscopic ventral mesh rectopexy for rectocele. | Procedure: laparoscopic ventral mesh rectopexy<br>* patients are treated by laparoscopic ventral mesh rectopexy for anterior rectocele<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| changes in the Wexner constipation score | improvement in constipation, if the score is decreasing this means improving | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| sexual function changes | changes in the sexual function score post operative (Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire score(PISQ-12). The lower the score the better the function. | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Anterior rectocele, laparoscopic ventral mesh rectopexy