MESH PATCH FOR CORRECTION OF LARGE RECTOCELE: FIRST EXPERIENCE
Abstract
Background. The purpose of this article is to show anatomical and functional results of surgical repair with mesh patch of large rectocele.
Methods. From July 2000 to February 2001 five surgical repairs of large rectocele with mesh patch were performed at the Department of Gynecology and Obstetrics of General Hospital Slovenj Gradec. The pre- and postoperative evaluation of vaginal status was made by the Pelvic Organ Prolapse Quantitation (POP-Q) system. Posterior vaginal prolapses, with the stage III by POP-Q were defined as large rectonceles. The preand postoperative functional status was made by questionnaire of accompanying symptoms (pelvic pain, tenesmus, difficult defecation, incontinence of gas and liquid stool) and of sexual function. Mesh patch (Prolene®) of appropriate size was used as a plug for defect in rectovaginal septum. The procedure was either the second or the first correction of the posterior vaginal prolapse, it was unconnected or connected with other gynecological surgical repair, for instance with hysterectomy or with TVT (Tension free Vaginal Tape).
Results. Posterior vaginal prolapse was abolished by that surgicale procedure and in all five cases the vaginal status was valued as stage 0 by POP-Q.The anorectal symptoms disappeared and the sexual function was unimpeded.
Conclusions. Regarding to first short-term results the mesh patch for correction of large defect in static of posterior vaginal wall and for the relief of its symptoms proved to be successful. At the same time this innovative surgical procedure makes it possible to preserve appropriate volume of vagina for unimpeded sexual function.
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