Vertical Versus Horizontal Plicataion in Transperienal Repair of Rectocele

Outcome of Vertical Versus Horizontal Plicataion in Transperienal Repair of Rectocele; a Randomized Controlled Trial

We assumed that the technique of plication of the rectovaginal septum and rectal wall may factor in providing better and more sustained repair that confers more satisfactory improvement in symptoms. The present randomized study aimed to evaluate the outcome of TPR with vertical plication of the rectovaginal septum as compared to the horizontal plication with regards to improvement in ODS, recurrence of rectocele, postoperative complications and dyspareunia.

Inclusion Criteria:

• Vertical plication of the rectovaginal septum was done

Exclusion Criteria:

• patients with ODS caused by conditions other than rectocele such as anismus and internal rectal prolapse
• patients with slow transit constipation.
• patients with recurrent rectocele after previous surgery.
• patients with pre-existing FI
• patients with associated anorectal pathology.