{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T05:17:23Z","timestamp":1769923043708,"version":"3.49.0"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,9,12]],"date-time":"2019-09-12T00:00:00Z","timestamp":1568246400000},"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":["Colorectal Disease"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to assess the functional outcome of transanal repair of rectocele using patient symptom scores and quality of life (<jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>) instruments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Patients who underwent transanal repair for symptomatic rectocele between February 2012 and August 2017 were included. This study was a retrospective analysis of prospectively collected data. A standard questionnaire including the Constipation Scoring System (<jats:styled-content style=\"fixed-case\">CSS<\/jats:styled-content>), the Fecal Incontinence Severity Index (<jats:styled-content style=\"fixed-case\">FISI<\/jats:styled-content>) and <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content> instruments [Patient Assessment of Constipation (<jats:styled-content style=\"fixed-case\">PAC<\/jats:styled-content>)\u2010<jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>, Fecal Incontinence <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content> Scale, Short\u2010Form 36 Health Survey (<jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\u201036)] was administered before and after the operation. Physiological assessment and proctography were performed before and after the operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty patients were included. The median follow\u2010up was 36 (6\u201372) months. Postoperative proctography showed a reduction in rectocele size [34 mm (14\u201352 mm) <jats:italic>vs<\/jats:italic> 10 mm (0\u201328 mm), <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.0001]. Physiological assessment showed no significant postoperative changes. Constipation was improved in 15\/21 patients (71%) at 1\u00a0year and 14\/20 patients (70%) at the mid\u2010term follow\u2010up. The <jats:styled-content style=\"fixed-case\">CSS<\/jats:styled-content> score reduced at 3\u00a0months [12 (8\u201312) <jats:italic>vs<\/jats:italic> 6 (1\u201312), <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.0001] and remained significantly reduced over time until the mid\u2010term follow\u2010up. Faecal incontinence was improved in two\u2010thirds patients at 1\u00a0year. Four patients developed new\u2010onset faecal incontinence. All the <jats:styled-content style=\"fixed-case\">PAC<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content> scale scores significantly improved over time until 1\u00a0year, while two of the eight <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\u201036 scale scores showed significant postoperative improvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Transanal repair for rectocele improves constipation and constipation\u2010specific <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.14833","type":"journal-article","created":{"date-parts":[[2019,8,27]],"date-time":"2019-08-27T19:29:49Z","timestamp":1566934189000},"page":"178-186","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Transanal repair of rectocele: prospective assessment of functional outcome and 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