{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T01:02:51Z","timestamp":1790816571232,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2017,9,4]],"date-time":"2017-09-04T00:00:00Z","timestamp":1504483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Transperineal rectocele repairs, either as isolated fascial repair or in combination with mesh augmentation, are hypothesized to reduce the risk of complications compared with alternative techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to ascertain long\u2010term success and complication rates following transperineal rectocele repairs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A literature search of <jats:styled-content style=\"fixed-case\">PubMed<\/jats:styled-content> and Embase was performed using the terms \u2018transperineal rectocele\u2019, \u2018rectocele\u2019, \u2018transperineal\u2019 and \u2018repair\u2019. Prospective studies, case series and retrospective case note analyses from 1 January 1994 to 1 December 2016 were included. Those that detailed outcomes of the transperineal approach or compared it to transanal\/transvaginal approaches were included. The main outcome measures were reported complications and functional outcome scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 14 studies were included. Of 566 patients, 333 (58.8%) underwent a transperineal rectocele repair and 220 (41.2%) a transanal repair. Complications were identified in 27 (12.3%) of the 220 transanal repairs and in 41 (12.3%) of the 333 transperineal repairs. A significant complication following transperineal repair was noted in eight studies. There are not enough data to make a reliable comparison between mesh and non\u2010mesh transperineal repairs or to compare biological and synthetic mesh use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Limitations<\/jats:title><jats:p>Outcome reporting differed between studies, precluding a full meta\u2010analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Transperineal rectocele repair offers an effective method of symptom improvement and appears to have a similar complication rate as transanal rectocele repair. Concomitant use of synthetic and biological mesh augmentation is becoming more common; however, high\u2010quality comparative data are lacking, so a direct comparison between surgical approaches is not yet possible.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.14068","type":"journal-article","created":{"date-parts":[[2017,9,5]],"date-time":"2017-09-05T01:08:51Z","timestamp":1504573731000},"page":"773-779","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Transperineal rectocele repair: a systematic review"],"prefix":"10.1111","volume":"87","author":[{"given":"Eleanor F.","family":"Zimmermann","sequence":"first","affiliation":[{"name":"Urology Alexandra Hospital, Redditch, Worcestershire Acute Hospitals NHS Trust  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2045-1277","authenticated-orcid":false,"given":"Richard S.","family":"Hayes","sequence":"additional","affiliation":[{"name":"Colorectal Surgery, Exeter Surgical Health Services Research Unit (HeSRU) Royal Devon and Exeter Hospital  Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian R.","family":"Daniels","sequence":"additional","affiliation":[{"name":"Colorectal Surgery, Exeter Surgical Health Services Research Unit (HeSRU) Royal Devon and Exeter Hospital  Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil J.","family":"Smart","sequence":"additional","affiliation":[{"name":"Colorectal Surgery, Exeter Surgical Health Services Research Unit (HeSRU) Royal Devon and Exeter Hospital  Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea M.","family":"Warwick","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Redcliffe Hospital  Redcliffe Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,9,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00860.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12595"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2011.09.004"},{"key":"e_1_2_6_5_1","first-page":"CD004014","article-title":"Surgical management of pelvic organ prolapse in women","volume":"4","author":"Maher C","year":"2014","journal-title":"Cochrane Database Syst. 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