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

Comparative Study Between Trans-perineal Repair With or Without Limited Internal Sphincterotomy in Treatment of Type I Anterior Rectocele: A Randomized Controlled Trial

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

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.

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.