{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T15:26:46Z","timestamp":1746458806238,"version":"3.40.4"},"reference-count":26,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2007,1,1]],"date-time":"2007-01-01T00:00:00Z","timestamp":1167609600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2007,1,1]],"date-time":"2007-01-01T00:00:00Z","timestamp":1167609600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dig Surg"],"published-print":{"date-parts":[[2007]]},"abstract":"<i>Aim:<\/i> This study was designed to compare preoperative and postoperative bowel functions in patients with rectocele repair. <i>Methods:<\/i> Patients who underwent surgery for rectocele between October 1988 and October 2004 were enrolled. Prior to surgery, the patients were asked to complete a questionnaire regarding evacuation difficulty, itching, fecal incontinence, and the need for digitation. Surgery was performed either transanally (group I) or transvaginally (group II). At follow-up after 12 months, the same questionnaire was obtained in the outpatient clinic or by mail to evaluate preoperative and postoperative changes in bowel function. <i>Results:<\/i> There were 71 patients in group I and 40 patients in group II. The median age was 56 years in group I and 67 years in group II. The evacuation difficulty was significantly improved in both group I (p < 0.001) and group II (p < 0.001). Incontinence to flatus was slightly increased in group I (p = 0.33) and group II (p = 0.6). Incontinence to solid stool was not statistically different in either group. The need for digitation was markedly improved in group I (p < 0.001) and group II (p = 0.0017). <i>Conclusion:<\/i> Although surgery for rectocele potentially increases the risk of fecal incontinence, it may be indicated if presented with evacuation difficulty necessitating digitation.<\/jats:p>","DOI":"10.1159\/000100918","type":"journal-article","created":{"date-parts":[[2007,3,16]],"date-time":"2007-03-16T12:39:39Z","timestamp":1174048779000},"page":"46-53","source":"Crossref","is-referenced-by-count":6,"title":["Changes in Bowel Function following Transanal and Transvaginal Rectocele Repair"],"prefix":"10.1159","volume":"24","author":[{"given":"Shingo","family":"Tsujinaka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasunobu","family":"Tsujinaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keigo","family":"Matsuo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazunari","family":"Akagi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukihiro","family":"Hamahata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2007,3,16]]},"reference":[{"doi-asserted-by":"publisher","key":"ref1","DOI":"10.1007%2Fs10350-004-0656-2"},{"doi-asserted-by":"publisher","key":"ref2","DOI":"10.1002%2Fbjs.4543"},{"doi-asserted-by":"publisher","key":"ref3","DOI":"10.1046%2Fj.1463-1318.2003.00427.x"},{"doi-asserted-by":"publisher","key":"ref4","DOI":"10.1046%2Fj.1463-1318.2001.00245.x"},{"doi-asserted-by":"publisher","key":"ref5","DOI":"10.1111%2Fj.1463-1318.2004.00768.x"},{"doi-asserted-by":"publisher","key":"ref6","DOI":"10.1007%2FBF02236204"},{"doi-asserted-by":"publisher","key":"ref7","DOI":"10.1007%2Fs101510100017"},{"doi-asserted-by":"publisher","key":"ref8","DOI":"10.1007%2FBF02236738"},{"doi-asserted-by":"publisher","key":"ref9","DOI":"10.1007%2Fs10350-004-0582-3"},{"doi-asserted-by":"publisher","key":"ref10","DOI":"10.1007%2Fs10350-004-6465-9"},{"doi-asserted-by":"publisher","key":"ref11","DOI":"10.1007%2Fs10350-004-0527-x"},{"doi-asserted-by":"publisher","key":"ref12","DOI":"10.1111%2Fj.0001-6349.2004.00646.x"},{"doi-asserted-by":"publisher","key":"ref13","DOI":"10.1007%2Fs10350-004-0526-y"},{"doi-asserted-by":"publisher","key":"ref14","DOI":"10.1007%2Fs00384-003-0572-2"},{"doi-asserted-by":"publisher","key":"ref15","DOI":"10.1034%2Fj.1600-0412.2000.079002145.x"},{"doi-asserted-by":"publisher","key":"ref16","DOI":"10.1016%2FS0002-9378%2899%2970406-0"},{"doi-asserted-by":"publisher","key":"ref17","DOI":"10.1007%2Fs10350-004-0670-4"},{"doi-asserted-by":"publisher","key":"ref18","DOI":"10.1007%2FPL00004032"},{"doi-asserted-by":"publisher","key":"ref19","DOI":"10.1007%2FBF02555314"},{"doi-asserted-by":"publisher","key":"ref20","DOI":"10.1097%2F00042307-200207000-00014"},{"doi-asserted-by":"publisher","key":"ref21","DOI":"10.1016%2FS0889-8553%2805%2970174-6"},{"doi-asserted-by":"publisher","key":"ref22","DOI":"10.1046%2Fj.1445-2197.2002.t01-1-02577.x"},{"doi-asserted-by":"publisher","key":"ref23","DOI":"10.1007%2FBF02237491"},{"doi-asserted-by":"publisher","key":"ref24","DOI":"10.1007%2Fs003840050008"},{"doi-asserted-by":"publisher","key":"ref25","DOI":"10.1136%2Fgut.44.1.77"},{"doi-asserted-by":"publisher","key":"ref26","DOI":"10.1007%2Fs003840050053"}],"container-title":["Digestive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/100918","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/100918","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T02:55:47Z","timestamp":1745463347000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000100918"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007]]},"references-count":26,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2007,4,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000100918","archive":["Portico"],"relation":{},"ISSN":["0253-4886","1421-9883"],"issn-type":[{"type":"print","value":"0253-4886"},{"type":"electronic","value":"1421-9883"}],"subject":[],"published":{"date-parts":[[2007]]}}}