Abstract
There is too little scientific proof to support evidence-based recommendations with respect to the surgical treatment of rectocele. Abdominal-approach surgery shows lower recurrence and dyspareunia as compared to the vaginal approach to treat genital prolapses. Controlled trials of rectocele surgery are few and the comparative groups have both small patient numbers and little follow-up. Moreover, there has been too little analysis of resorbable and non resorbable mesh interpositions.
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