Transanal repair of rectocele: prospective assessment of functional outcome and quality of life.
Adult
Aged
Aged, 80 and over
Constipation
/ etiology
Fecal Incontinence
/ etiology
Female
Humans
Middle Aged
Pelvic Floor
/ physiopathology
Postoperative Complications
/ etiology
Prospective Studies
Quality of Life
Rectocele
/ physiopathology
Rectum
/ physiopathology
Retrospective Studies
Severity of Illness Index
Surveys and Questionnaires
Transanal Endoscopic Surgery
/ adverse effects
Treatment Outcome
Functional results
quality of life
rectocele
transanal repair
Journal
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
ISSN: 1463-1318
Titre abrégé: Colorectal Dis
Pays: England
ID NLM: 100883611
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
received:
18
01
2019
accepted:
09
08
2019
pubmed:
28
8
2019
medline:
23
4
2021
entrez:
28
8
2019
Statut:
ppublish
Résumé
This study aimed to assess the functional outcome of transanal repair of rectocele using patient symptom scores and quality of life (QOL) instruments. Patients who underwent transanal repair for symptomatic rectocele between February 2012 and August 2017 were included. This study was a retrospective analysis of prospectively collected data. A standard questionnaire including the Constipation Scoring System (CSS), the Fecal Incontinence Severity Index (FISI) and QOL instruments [Patient Assessment of Constipation (PAC)-QOL, Fecal Incontinence QOL Scale, Short-Form 36 Health Survey (SF-36)] was administered before and after the operation. Physiological assessment and proctography were performed before and after the operation. Thirty patients were included. The median follow-up was 36 (6-72) months. Postoperative proctography showed a reduction in rectocele size [34 mm (14-52 mm) vs 10 mm (0-28 mm), P < 0.0001]. Physiological assessment showed no significant postoperative changes. Constipation was improved in 15/21 patients (71%) at 1 year and 14/20 patients (70%) at the mid-term follow-up. The CSS score reduced at 3 months [12 (8-12) vs 6 (1-12), P < 0.0001] and remained significantly reduced over time until the mid-term follow-up. Faecal incontinence was improved in two-thirds patients at 1 year. Four patients developed new-onset faecal incontinence. All the PAC-QOL scale scores significantly improved over time until 1 year, while two of the eight SF-36 scale scores showed significant postoperative improvement. Transanal repair for rectocele improves constipation and constipation-specific QOL.
Types de publication
Evaluation Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
178-186Informations de copyright
Colorectal Disease © 2019 The Association of Coloproctology of Great Britain and Ireland.
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