Transperineal repair of recurrent rectocele using polypropylene mesh

The aim of this study was to review our experience in patients with recurrent rectoceles using polypropylene mesh for operative repair. The study comprised six women, median age 56 (range 46-68) years. Patients were selected for recurrent rectocele mesh repair between 1996-1998. The rectovaginal septum was repaired with polypropylene mesh (ATRIUM) through a perineal approach. The median follow-up period was 11 months. All of the six women achieved successful evacuation after surgery without the need for vaginal digitation and without recurrences. Five (83%) were very satisfied. This technique is bloodless, easy to perform, and effective as far as relief of symptoms. The time required for repair of the recurrent rectocele is approximately 8 min. In conclusion, operative mesh repair of the rectovaginal septum removes the need for vaginal digitation in all women with recurrent rectoceles and appears to have advantages over the transrectal, vaginal or other techniques and seems the method of choice for the repair of recurrent rectocele.