LONGTERM RESULTS OF THE APPLICATION OF THE ORIGINAL METHOD OF SPHINCTERLEVATORPLASTY IN THE TREATMENT OF RECTOCELE

Abstract

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Background. A lot of methods for surgical correction of rectocele are presenting today, but a high percentage of unsatisfactory results doesn’t decrease. This is due to the desire for reliable tissue closure, which leads to ischemia, necrosis and unsatisfactory results. Aim. To evaluate the long-term results of the using the original method of sphincter-levatorplasty in the treatment of rectocele. Material and Methods. We analyzed the long-term results of surgical treatment of 134 women suffering from rectocele, who were treated by the new method of sphincter-levatorplasty. Follow-up period was 24 months. The effectiveness of surgical treatment was assessed in a comprehensive manner using questionnaires, clinical examination data and instrumental methods. Results and Discussion. The results of treatment were assessed by anatomical and functional criterions - absence of relapse clinically at examination, influence of treatment on the quality of defecation and manifestation of dyspareunia. The postoperative period (6-24 months) was actively tracked in all patients. While 83 (61.9%) patients were examined. the rest of the patients did not come to the examination. assessing their condition as good. A good and satisfactory functional result was obtained in 127 (94.7±1.9%) patients. Relapse of rectocele was detected in 7 women, which was 8.4±3.0% of the number of patients who agreed to undergo an examination in the long-term period. Conclusions. The results of surgical treatment of patients with rectocele by using the original technique of sphincter-levatorplasty showed the effectiveness of the method in the long-term period.