Treatment of Symptomatic High Rectocele Measuring at Least 3 cm With Straining
This protocol addresses the management of a symptomatic high rectocele of at least 3 cm on straining, whether presenting in isolation or alongside other pelvic floor disorders.
Clinical scenario: Symptomatic rectocele measuring at least 3 cm with straining, occurring as an isolated finding or in combination with associated pelvic floor disorders — including enterocele, internal rectal prolapse, or involvement of the uterus or bladder. Therapeutic management is indicated in this setting.
For this presentation, evidence supports an abdominal surgical approach using a specific laparoscopic technique — considered the current gold standard in this setting. The complete procedural protocol, including full management detail, is available below.
References
- Therapeutic management should be initiated in the presence of a symptomatic rectocele, and measuring at least 3 cm with straining.
- In the presence of a high rectocele, whether isolated or associated with other pelvic floor disorders such as enterocele, internal rectal prolapse, or involvement of the uterus or bladder, an abdominal approach with a laparoscopic ventral rectopexy is the preferred approach.
- The intervention currently considered to be the gold standard is laparoscopic ventral rectopexy.
DOI: 10.1016/j.jviscsurg.2020.10.001
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