{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T10:50:21Z","timestamp":1775386221242,"version":"3.50.1"},"reference-count":46,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T00:00:00Z","timestamp":1770508800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Current Problems in Surgery"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.cpsurg.2026.102006","type":"journal-article","created":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T07:14:20Z","timestamp":1771658060000},"page":"102006","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Critical thresholds of combined transvaginal mesh and transanal resection for rectocele repair in East Asian women"],"prefix":"10.1016","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6294-7783","authenticated-orcid":false,"given":"Hong Zhi","family":"Geng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2862-7943","authenticated-orcid":false,"given":"Chen","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4165-5006","authenticated-orcid":false,"given":"Jiying","family":"Cong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4192-1088","authenticated-orcid":false,"given":"Xu","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuwei","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.cpsurg.2026.102006_bib0001","article-title":"Transvaginal mesh or grafts compared with native tissue repair for vaginal prolapse","volume":"9","author":"Maher","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"issue":"3","key":"10.1016\/j.cpsurg.2026.102006_bib0002","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/j.ajog.2003.11.017","article-title":"Sexual function among women with urinary incontinence and pelvic organ prolapse","volume":"191","author":"Handa","year":"2004","journal-title":"Am J Obstet Gynecol"},{"issue":"1","key":"10.1016\/j.cpsurg.2026.102006_bib0003","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/DCR.0000000000001256","article-title":"Laparoscopic ventral rectopexy versus stapled transanal rectal resection for treatment of obstructed defecation in the elderly: long-term results of a prospective randomized study","volume":"62","author":"Madbouly","year":"2019","journal-title":"Dis Colon Rectum"},{"issue":"1","key":"10.1016\/j.cpsurg.2026.102006_bib0004","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s10151-019-02131-6","article-title":"Impact of TRREMS on symptoms of obstructed defecation due to rectocele: predictive factors and outcomes","volume":"24","author":"Regadas","year":"2020","journal-title":"Tech Coloproctol"},{"issue":"1","key":"10.1016\/j.cpsurg.2026.102006_bib0005","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/s10151-009-0454-x","article-title":"Rectocele and intussusception: is there any coherence in symptoms or additional pelvic floor disorders?","volume":"13","author":"Hausammann","year":"2009","journal-title":"Tech Coloproctol"},{"issue":"6","key":"10.1016\/j.cpsurg.2026.102006_bib0006","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1111\/j.1479-828X.2005.00486.x","article-title":"Which bowel symptoms are most strongly associated with a true rectocele?","volume":"45","author":"Dietz","year":"2005","journal-title":"Aust NZ J Obstet Gynaecol"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0007","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1067\/mob.2002.123819","article-title":"Pelvic organ prolapse in the women\u2019s health initiative: gravity and gravidity","volume":"186","author":"Hendrix","year":"2002","journal-title":"Am J Obstet Gynecol"},{"issue":"7","key":"10.1016\/j.cpsurg.2026.102006_bib0008","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1111\/codi.14028","article-title":"Clinical outcomes of stapled transanal rectal resection (STARR) for obstructed defaecation syndrome at 10-year follow-up","volume":"20","author":"Schiano di Visconte","year":"2018","journal-title":"Colorectal Dis"},{"issue":"23","key":"10.1016\/j.cpsurg.2026.102006_bib0009","doi-asserted-by":"crossref","first-page":"598","DOI":"10.12659\/MSM.898790","article-title":"Transvaginal mesh and transanal resection to treat outlet obstruction constipation caused by rectocele","volume":"1","author":"Shi","year":"2017","journal-title":"Med Sci Monit."},{"issue":"2","key":"10.1016\/j.cpsurg.2026.102006_bib0010","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1007\/BF02634497","article-title":"Transrectal perineal repair: an adjunct to improved function after anorectal surgery","volume":"11","author":"Sullivan","year":"1968","journal-title":"Dis Colon Rectum"},{"issue":"11","key":"10.1016\/j.cpsurg.2026.102006_bib0011","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1007\/s10350-004-6465-9","article-title":"Combined perineal and endorectal repair of rectocele by circular stapler: a novel surgical technique","volume":"45","author":"Donato","year":"2002","journal-title":"Dis Colon Rectum"},{"issue":"2","key":"10.1016\/j.cpsurg.2026.102006_bib0012","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1007\/s11605-016-3299-4","article-title":"Comparative study between transperineal repair with or without limited internal sphincterotomy in the treatment of type I anterior rectocele: a randomized controlled trial","volume":"21","author":"Youssef","year":"2017","journal-title":"J Gastrointest Surg"},{"issue":"2","key":"10.1016\/j.cpsurg.2026.102006_bib0013","first-page":"102","article-title":"Analysis of 239 cases of rectocele","volume":"28","author":"Lu","year":"1990","journal-title":"Zhonghua Wai Ke Za Zhi"},{"issue":"1","key":"10.1016\/j.cpsurg.2026.102006_bib0014","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1007\/s00384-025-04963-1","article-title":"Age-stratified diagnostic value of high-resolution anorectal manometry in women with severe rectocele: interactions between anal relaxation rate and maximum anal resting pressure","volume":"7","author":"Geng","year":"2025","journal-title":"Int J Colorecta Dis"},{"issue":"3","key":"10.1016\/j.cpsurg.2026.102006_bib0015","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1007\/s10350-004-0800-z","article-title":"Long-term outcomes of transanal rectocele repair","volume":"48","author":"Roman","year":"2005","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0016","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1111\/zph.12315","article-title":"Explanation and elaboration document for the STROBE-Vet statement: strengthening the reporting of observational studies in epidemiology\u2014veterinary extension","volume":"63","author":"O'Connor","year":"2016","journal-title":"Zoonoses Pub Health"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0017","article-title":"World Medical Association Declaration of Helsinki: ethical principles for medical research involving human participants","year":"2024","journal-title":"JAMA"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0018","article-title":"Bowel disorders","author":"Mearin","year":"2016","journal-title":"Gastroenterology"},{"issue":"1","key":"10.1016\/j.cpsurg.2026.102006_bib0019","doi-asserted-by":"crossref","DOI":"10.1111\/nmo.13679","article-title":"The international anorectal physiology working group (IAPWG) recommendations: standardized testing protocol and the London classification for disorders of anorectal function","volume":"32","author":"Carrington","year":"2020","journal-title":"Neurogastroenterol Motil"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0020","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1097\/MEG.0000000000000059","article-title":"Three-dimensional high-resolution anorectal manometry in the diagnosis of paradoxical puborectalis syndrome compared with healthy adults: a retrospective study in 79 cases","volume":"26","author":"Xu","year":"2014","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0021","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1111\/j.1365-2982.2004.00526.x","article-title":"Investigation of the utility of colorectal function tests and Rome II criteria in dyssynergic defecation (Anismus)","volume":"16","author":"Rao","year":"2004","journal-title":"Neurogastroenterol Motil"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0022","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1046\/j.1463-1318.1999.00075.x","article-title":"Rectoceles: value of videodefaecography in selection of treatment policy","volume":"1","author":"Marti Roche","year":"1999","journal-title":"Colorectal Disease"},{"issue":"11","key":"10.1016\/j.cpsurg.2026.102006_bib0023","doi-asserted-by":"crossref","DOI":"10.1111\/nmo.14453","article-title":"Rectocele: incidental or important? Observe or operate? Contemporary diagnosis and management in the multidisciplinary era","volume":"34","author":"Bharucha","year":"2022","journal-title":"Neurogastroenterol Motil"},{"issue":"8","key":"10.1016\/j.cpsurg.2026.102006_bib0024","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1111\/codi.12213","article-title":"Are rectoceles the cause or the result of obstructed defaecation syndrome? a prospective anorectal physiology study","volume":"15","author":"Hicks","year":"2013","journal-title":"Colorectal Dis"},{"issue":"2","key":"10.1016\/j.cpsurg.2026.102006_bib0025","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1590\/S0004-28032012000200008","article-title":"Management of patients with rectocele, multiple pelvic floor dysfunctions and obstructed defecation syndrome","volume":"49","author":"Murad-Regadas","year":"2012","journal-title":"Arq Gastroenterol"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0026","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1111\/j.1600-0412.1990.tb08027.x","article-title":"An integral theory of female urinary incontinence. experimental and clinical considerations","volume":"153","author":"Petros","year":"1990","journal-title":"Acta Obstet Gynecol Scand Suppl"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0027","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1097\/00001703-199408000-00003","article-title":"The anatomy of the pelvic floor","volume":"6","author":"DeLancey","year":"1994","journal-title":"Curr Opin Obstet Gynecol"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0028","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1097\/00003081-199312000-00017","article-title":"Pelvic floor disorders: the role of fascia and ligaments","volume":"36","author":"Norton","year":"1993","journal-title":"Clin Obstet Gynecol"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0029","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1007\/BF02049817","article-title":"Defecography. Results of investigations in 2,816 patients","volume":"37","author":"Mellgren","year":"1994","journal-title":"Dis Colon Rectum"},{"issue":"10","key":"10.1016\/j.cpsurg.2026.102006_bib0030","doi-asserted-by":"crossref","first-page":"1244","DOI":"10.1097\/DCR.0000000000003430","article-title":"The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the evaluation and management of chronic constipation","volume":"67","author":"Alavi","year":"2024","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0031","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2022.790287","article-title":"Stapled transanal rectal resection (STARR) in the treatment of obstructed defecation: a systematic review","volume":"9","author":"Ripamonti","year":"2022","journal-title":"Front Surg"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0032","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1007\/s10151-019-01944-9","article-title":"Stapled transanal rectal resection for the treatment of rectocele associated with obstructed defecation syndrome: a large series of 262 consecutive patients","volume":"23","author":"Giarratano","year":"2019","journal-title":"Tech Coloproctol"},{"issue":"1","key":"10.1016\/j.cpsurg.2026.102006_bib0033","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s10151-015-1399-x","article-title":"Transverse incision transvaginal rectocele repair combined with levatorplasty and biological graft insertion: technical details and case series outcomes","volume":"20","author":"Melich","year":"2016","journal-title":"Tech Coloproctol"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0034","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/j.amjsurg.2013.12.002","article-title":"Symptomatic rectocele: what are the indications for repair?","volume":"207","author":"Hall","year":"2014","journal-title":"Am J Surg"},{"issue":"1","key":"10.1016\/j.cpsurg.2026.102006_bib0035","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1002\/ijgo.13828","article-title":"Enlargement of the genital hiatus is associated with prolapse recurrence in patients undergoing sacrospinous ligament fixation","volume":"157","author":"Garcia","year":"2022","journal-title":"Int J Gynaecol Obstet"},{"issue":"5","key":"10.1016\/j.cpsurg.2026.102006_bib0036","doi-asserted-by":"crossref","first-page":"e459","DOI":"10.1097\/SLA.0000000000004559","article-title":"Patients' Perception of long-term outcome after laparoscopic ventral mesh rectopexy; single tertiary center experience","volume":"1","author":"Singh","year":"2022","journal-title":"Ann Surg"},{"issue":"6","key":"10.1016\/j.cpsurg.2026.102006_bib0037","doi-asserted-by":"crossref","DOI":"10.1016\/j.cpsurg.2024.101471","article-title":"Ileorectal intussusception compared to end-to-end ileorectal anastomosis after laparoscopic total colectomy in slow-transit constipation","volume":"61","author":"Geng","year":"2024","journal-title":"Curr Probl Surg"},{"issue":"1","key":"10.1016\/j.cpsurg.2026.102006_bib0038","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1097\/DCR.0b013e318273a182","article-title":"Long-term follow-up of the Jinling procedure for combined slow-transit constipation and obstructive defecation","volume":"56","author":"Li","year":"2013","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0039","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1111\/apt.14174","article-title":"Review article: dyssynergic defaecation and biofeedback therapy in the pathophysiology and management of functional constipation","volume":"46","author":"Skardoon","year":"2017","journal-title":"Aliment Pharmacol Ther"},{"issue":"8","key":"10.1016\/j.cpsurg.2026.102006_bib0040","doi-asserted-by":"crossref","first-page":"e826","DOI":"10.1097\/DCR.0000000000002269","article-title":"Rectal prolapse pathological features: findings in patients with outlet obstruction treated with stapled transanal Rectal resection","volume":"66","author":"Brusciano","year":"2023","journal-title":"Dis Colon Rectum"},{"issue":"1","key":"10.1016\/j.cpsurg.2026.102006_bib0041","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1007\/s00423-023-02879-4","article-title":"Mid-term efficacy and postoperative wound management of laser hemorrhoidoplasty (LHP) vs conventional excisional hemorrhoidectomy in grade III hemorrhoidal disease: the twisting trend","volume":"408","author":"Gambardella","year":"2023","journal-title":"Langenbecks Arch Surg"},{"issue":"3","key":"10.1016\/j.cpsurg.2026.102006_bib0042","doi-asserted-by":"crossref","DOI":"10.1111\/nmo.12940","article-title":"The importance of a high rectal pressure on strain in constipated patients: implications for biofeedback therapy","volume":"29","author":"Mazor","year":"2017","journal-title":"Neurogastroenterol Motil"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0043","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1186\/s12905-021-01304-6","article-title":"Rectal-vaginal pressure gradient in patients with pelvic organ prolapse and symptomatic rectocele","volume":"21","author":"Tan","year":"2021","journal-title":"BMC Women\u2019s Health"},{"key":"10.1016\/j.cpsurg.2026.102006_bib0044","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/s12876-023-03063-0","article-title":"High-resolution anorectal manometry for diagnosing obstructed defecation syndrome associated with moderate rectocele compared to healthy individuals","volume":"24","author":"Geng","year":"2024","journal-title":"BMC Gastroenterol"},{"issue":"6","key":"10.1016\/j.cpsurg.2026.102006_bib0045","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1007\/s10151-019-01996-x","article-title":"An imaginary cuboid: chest, abdomen, vertebral column and perineum, different parts of the same whole in the harmonic functioning of the pelvic floor","volume":"23","author":"Brusciano","year":"2019","journal-title":"Tech Coloproctol"},{"issue":"5","key":"10.1016\/j.cpsurg.2026.102006_bib0046","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1080\/00365520510012208","article-title":"Development and validation of the patient assessment of constipation quality of life questionnaire","volume":"40","author":"Marquis","year":"2005","journal-title":"Scand J Gastroenterol"}],"container-title":["Current Problems in Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0011384026000304?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0011384026000304?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T09:58:49Z","timestamp":1775383129000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0011384026000304"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":46,"alternative-id":["S0011384026000304"],"URL":"https:\/\/doi.org\/10.1016\/j.cpsurg.2026.102006","relation":{},"ISSN":["0011-3840"],"issn-type":[{"value":"0011-3840","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Critical thresholds of combined transvaginal mesh and transanal resection for rectocele repair in East Asian women","name":"articletitle","label":"Article Title"},{"value":"Current Problems in Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cpsurg.2026.102006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"102006"}}