Abstract
The aim of this work is to study the results and successes rate of trans rectal rectocele repair Vs standard posterior colporaphy in the treatment of obstructed defecation. Forty female patients with obstructed defecation due to rectocele scheduled for surgical repair were randomized to either trans rectal obliterative suture technique or trans vaginal Posterior Colporaphy repair in the period between October 2012 and October 2014. Mean operative time was significantly shorter in trans rectal group. As regarding to changes in bowel symptoms12 months after surgery (constipation, incomplete evacuation) there was improvement in both groups. Postoperative dysparenia was significantly higher in trans vaginal group. The clinical outcome at one year in trans rectal group was excellent in 10 (50%) patients in contrast to in trans vaginal group. The transrectal technique has advantages over posterior colporraphy. It is bloodless, rapid, and remarkably easy to perform.
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