Abstract
We read with interest the article published by Hicks et al 1 Hicks C.W. Weinstein M. Wakamatsu M. Savitt L. Pulliam S. Bordeianou L. In patients with rectoceles and obstructed defecation syndrome, surgery should be the option of last resort. Surgery. 2014; 155: 659-667 Abstract Full Text Full Text PDF PubMed Scopus (35) Google Scholar on the efficacy of biofeedback (BFB) treatment in more than 90 patients with symptoms of rectocele and obstructed defecation (ODS; 70% of patients experienced improvement in their symptoms after BFB). The authors underlined the efficacy of BFB therapy in patients with rectocele, expecially in those with rectocele plus internal rectal prolapse. According to several authors, operative repair of rectocele does not always alleviate symptoms related to difficulty in defecation, and some patients have impaired fecal continence after operative treatment. 2 Maria G. Brisinda G. Bentivoglio A.R. Albanese A. Sganga G. Castagneto M. Anterior rectocele due to obstructed defecation relieved by botulinum toxin. Surgery. 2001; 129: 524-529 Abstract Full Text Full Text PDF PubMed Scopus (23) Google Scholar In patients with rectoceles and obstructed defecation syndrome, surgery should be the option of last resortSurgeryVol. 155Issue 4PreviewThe indications for operation in patients with obstructed defecation syndrome (ODS) with rectocele are not well defined. Full-Text PDF
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