{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T08:55:00Z","timestamp":1764060900167,"version":"3.28.0"},"reference-count":90,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,11,19]],"date-time":"2019-11-19T00:00:00Z","timestamp":1574121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">FIGO<\/jats:styled-content> Working Group (<jats:styled-content style=\"fixed-case\">FWG<\/jats:styled-content>) in Pelvic Floor Medicine and Reconstructive Surgery (2012\u20132015) established a consensus among international opinion leaders in evaluating current evidence and providing practice recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To provide an update of the previous clinical opinion report on conservative and surgical treatment of posterior compartment prolapse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search strategy<\/jats:title><jats:p>Search of evidence was performed using Pubmed, Embase, and Cochrane Library databases up to August 2018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Selection criteria<\/jats:title><jats:p>Controlled trials on posterior colporrhaphy, site\u2010specific defect, transanal, abdominal, laparoscopic, and mesh repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data collection and analysis<\/jats:title><jats:p>Collective consensus on surgical outcomes was based on a decision\u2010making process during meetings and multiple group consultations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main results<\/jats:title><jats:p>Basic evaluation and conservative treatment precede surgical management. Surgical techniques are performed by vaginal, transperineal, transanal, abdominal, or laparoscopic approach. The transvaginal surgical route without mesh appears superior to the transanal route. No conclusions can be drawn based on clinical studies or randomized controlled trials of posterior colporrhaphy and laparoscopic rectopexy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Management of rectocele should include patients\u2019 history, quality of life questionnaires, and, in case of complex anorectal symptoms, imaging and functional studies. Evidence on the best type of posterior vaginal wall repair is still scarce. Randomized controlled trials are needed to determine the best approach to achieve safe, effective, and long\u2010term anatomical and functional outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13006","type":"journal-article","created":{"date-parts":[[2019,10,19]],"date-time":"2019-10-19T18:09:23Z","timestamp":1571508563000},"page":"135-144","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["An update of a former <scp>FIGO<\/scp> Working Group Report on Management of Posterior Compartment Prolapse"],"prefix":"10.1002","volume":"148","author":[{"given":"Stergios K.","family":"Doumouchtsis","sequence":"first","affiliation":[{"name":"Urogynaecology, Department of Obstetrics and Gynaecology Epsom &amp; St Helier University Hospitals NHS Trust  London UK"},{"name":"Department of Obstetrics and Gynaecology St. George's University of London  London UK"},{"name":"School of Medicine American University of the Caribbean  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