{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T13:25:22Z","timestamp":1782739522486,"version":"3.54.5"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2004,7,26]],"date-time":"2004-07-26T00:00:00Z","timestamp":1090800000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2004,9,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Rectoceles are traditionally repaired transvaginally and sexual dysfunction can be a significant complication. The aim of this study was to evaluate the functional and physiological outcome following transanal repair of rectoceles.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Forty-five patients of mean age 57\u00b71 (range 34\u201378) years with a symptomatic anterior rectocele, selected by contrast retention greater than 15 per cent on isotope defaecography, underwent transanal repair of rectocele. Preoperative and postoperative symptoms were assessed by means of a questionnaire. A proportion of patients underwent anorectal physiology and isotope defaecography before and after surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Median(range) follow-up was 24 (2\u201350) months. One patient developed a wound infection after surgery. Thirty-five patients reported an excellent, good or fair result, with seven reporting a moderate and three a poor result. There was a reduction in incomplete evacuation (P &amp;lt; 0\u00b7001) confirmed by isotope defaecography (mean(s.d.) rectal emptying before surgery 57(14) per cent versus 76(9) per cent after surgery; P = 0\u00b7020), and a reduction in vaginal (P &amp;lt; 0\u00b7001) and perineal (P = 0\u00b7004) digitation. Symptomatic feeling of prolapse (vaginal bulging) was significantly improved (P &amp;lt; 0\u00b7001). There was no increase in incontinence (P = 0\u00b7688). Resting and squeeze anal canal pressures were unchanged after operation. Surgery did not result in sexual dysfunction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Transanal repair of rectocele is a safe alternative to posterior colporrhaphy. It provides improvement in symptoms, reflected by anatomical improvement with minimal complications and no increase in dyspareunia.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.4543","type":"journal-article","created":{"date-parts":[[2004,7,26]],"date-time":"2004-07-26T16:00:44Z","timestamp":1090857644000},"page":"1340-1344","source":"Crossref","is-referenced-by-count":41,"title":["Functional and physiological outcome following transanal repair of rectocele"],"prefix":"10.1093","volume":"91","author":[{"given":"A G","family":"Heriot","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, St George's Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Skull","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, St George's Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, St George's Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2004,7,26]]},"reference":[{"key":"2021070907113210900_bib1","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1007\/BF01649696","article-title":"Endo-rectal repair of rectocele","volume":"4","author":"Sarles","year":"1989","journal-title":"Int J Colorectal Dis"},{"key":"2021070907113210900_bib2","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1007\/BF02555314","article-title":"Transrectal repair of rectocele using obliterative suture","volume":"29","author":"Block","year":"1986","journal-title":"Dis Colon Rectum"},{"key":"2021070907113210900_bib3","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/BF01649677","article-title":"An analysis of rectal morphology in obstructed defaecation","volume":"3","author":"Bartolo","year":"1988","journal-title":"Int J Colorectal Dis"},{"key":"2021070907113210900_bib4","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1148\/radiology.174.1.2294537","article-title":"Anorectal function in patients with defecation disorders and asymptomatic subjects: evaluation with defecography","volume":"174","author":"Goei","year":"1990","journal-title":"Radiology"},{"key":"2021070907113210900_bib5","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1007\/BF00341206","article-title":"Does surgery resolve outlet obstruction from rectocele?","volume":"10","author":"Infantino","year":"1995","journal-title":"Int J Colorectal Dis"},{"key":"2021070907113210900_bib6","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1007\/BF02552545","article-title":"Radiologic studies of rectal evacuation in adults with idiopathic constipation","volume":"31","author":"Turnbull","year":"1988","journal-title":"Dis Colon Rectum"},{"key":"2021070907113210900_bib7","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1007\/BF02150745","article-title":"Rectocele repair. 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