Midline rectovaginal fascial plication: Anatomical and functional outcomes at one year.

Midline rectovaginal fascial plication POPQ (Pelvic Organ Prolapse Quantification system) Prolapse Quality of life questionnaires Rectocele

Journal

Journal of gynecology obstetrics and human reproduction
ISSN: 2468-7847
Titre abrégé: J Gynecol Obstet Hum Reprod
Pays: France
ID NLM: 101701588

Informations de publication

Date de publication:
Apr 2022
Historique:
received: 14 10 2021
revised: 16 01 2022
accepted: 24 01 2022
pubmed: 2 2 2022
medline: 6 4 2022
entrez: 1 2 2022
Statut: ppublish

Résumé

To evaluate anatomical and functional results at one year of midline rectovaginal fascial plication (MFP) for rectocele. Single-center observational study performed in a gynecologic-obstetrics department of a university hospital. Inclusion criteria were patients with isolated or associated rectocele treated by MFP. The success rate defined by a Bp point < 0 cm, improvement of symptoms, and satisfaction were evaluated at one year. Quality of life questionnaires were distributed pre- and postoperatively at one year. 34/46 (74%) patients were interviewed pre and postoperatively including a POPQ evaluation in only 30 patients. Anatomical success rate was 28/30 (93%) (p < 0.0001). There was an improvement in the sensation of vaginal bulge with 22/34 patients (65%) no longer having this symptom (p < 0.0001) and only one patient (1/34, 3%) underwent surgery for recurrence of the rectocele. 24/34 patients (71%) were satisfied with their surgery at one year. Anatomical and functional results of MFP for rectocele are encouraging and must be confirmed on a longer follow up.

Identifiants

pubmed: 35101616
pii: S2468-7847(22)00019-8
doi: 10.1016/j.jogoh.2022.102327
pii:
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

102327

Informations de copyright

Copyright © 2022 Elsevier Masson SAS. All rights reserved.

Déclaration de conflit d'intérêts

Conflict of interest None

Auteurs

Alice Bedel (A)

Aix Marseille University (AMU), AP-HM, Hôpital de la Conception, Marseille, France. Electronic address: alicebedel@wanadoo.fr.

Aubert AgostinI (A)

Aix Marseille University (AMU), AP-HM, Hôpital de la Conception, Marseille, France. Electronic address: aubert.agostini@ap-hm.fr.

Antoine Netter (A)

Aix Marseille University (AMU), AP-HM, Hôpital de la Conception, Marseille, France. Electronic address: antoine.netter@ap-hm.fr.

Audrey Pivano (A)

Aix Marseille University (AMU), AP-HM, Hôpital de la Conception, Marseille, France. Electronic address: audrey.pivano@ap-hm.fr.

Rambeaud Caroline (R)

Aix Marseille University (AMU), AP-HM, Hôpital de la Conception, Marseille, France. Electronic address: caroline.rambeaud@ap-hm.fr.

Claire Tourette (C)

Aix Marseille University (AMU), AP-HM, Hôpital de la Conception, Marseille, France. Electronic address: clairemarie.tourette@ap-hm.fr.

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Classifications MeSH