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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transperineal repair with PIS | Active Comparator | transperineal repair of anterior rectocele with limited internal sphincterotomy |
|
| Transperineal repair without PIS | Active Comparator | transperineal repair of anterior rectocele only |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transperineal repair with PIS | Procedure | Repair of anterior rectocele via transperineal approach followed by limited internal sphincterotomy at 6 o'clock. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of recurrence | Number of patients presenting with recurrent or persistent symptoms during follow up | 18 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mohamed Youssef, M.D | Mansoura Univesity | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mansoura university hospital | Al Mansurah | Dakahlia Governorate | Egypt |
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| ID | Term |
|---|---|
| D020047 | Rectocele |
| ID | Term |
|---|---|
| D012002 | Rectal Diseases |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D051607 | CDP-Diacylglycerol-Inositol 3-Phosphatidyltransferase |
| ID | Term |
|---|---|
| D017855 | Transferases (Other Substituted Phosphate Groups) |
| D010770 | Phosphotransferases |
| D014166 | Transferases |
| D004798 | Enzymes |
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| Transperineal repair without PIS | Procedure | Repair of anterior rectocele via transperineal approach without performing limited internal sphincterotomy |
|
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D045762 | Enzymes and Coenzymes |