{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T08:10:39Z","timestamp":1776845439134,"version":"3.51.2"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T00:00:00Z","timestamp":1436832000000},"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":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Rectocele is a herniation of the anterior wall of the rectal ampulla through a defect in the rectovaginal septum causing protrusion of the posterior vaginal wall. Common symptoms include symptoms of prolapse and obstructed defecation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To describe subjective, anatomical and functional results of defect\u2010specific rectocele repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This is an internal audit of 137 women who underwent defect\u2010specific rectocele repair. Pre\u2010 and post\u2010operative assessment included a standardised interview, clinical examination and 3D\/4D transperineal ultrasound. Outcome measures were symptoms of obstructed defecation, recurrent prolapse symptoms, clinical posterior compartment recurrence and rectocele recurrence on ultrasound.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At a mean follow\u2010up of 1.4\u00a0years, 117 (85%) of women considered themselves cured or improved. Thirty\u2010four (25%) complained of recurrent prolapse symptoms and 47 (34%) symptoms of obstructed defecation, a significant reduction (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001). Clinical recurrence (Bp\u00a0\u2265\u00a0\u22121) was seen in 19 women (14%) and recurrence on ultrasound in 27 (20%). The mean depth of recurrence was 16.6\u00a0mm (10.3\u201325.1). We tested multiple potential predictors of recurrence, including age, <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>, vaginal parity, previous hysterectomy and\/or prolapse surgery, follow\u2010up time, pre\u2010operative clinical and ultrasound findings. Only hiatal area on Valsalva (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.95 for sonographic recurrence, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.01) and enterocele (for clinical and sonographic recurrence, <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 4.03, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.01 and <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 2.72, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.02, respectively) reached significance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Defect\u2010specific rectocele repair is effective both in restitution of normal anatomy and in resolving prolapse and obstructed defecation symptoms at a mean follow\u2010up of 1.4\u00a0years.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12347","type":"journal-article","created":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T12:44:32Z","timestamp":1436877872000},"page":"487-492","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Defect\u2010specific rectocele repair: medium\u2010term anatomical, functional and subjective outcomes"],"prefix":"10.1111","volume":"55","author":[{"given":"Rodrigo","family":"Guzm\u00e1n Rojas","sequence":"first","affiliation":[{"name":"Departamento de Ginecolog\u00eda y Obstetricia Facultad de Medicina Cl\u00ednica Alemana \u2013 Universidad del Desarrollo Santiago Chile"},{"name":"Departamento de Ginecolog\u00eda y Obstetricia Hospital Cl\u00ednico de la Universidad de Chile Santiago Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ixora","family":"Kamisan Atan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and 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