Anterior Sphincteroplasty Procedure Should Be Considered in the Treatment of the Rectocele Because of the Incomplete External Anal Sphincteric Rupture Accompaniment/Inkomplet Eksternal Anal Sfinkterik Rupturun Eslik Etmesinden Dolayi Rektosel Tedavisinde Anal Sfinkteroplasti Proseduru Goz Onunde Bulundurulmalidir
Keywords: Rectocele, ischioanal fossa, anal sphincteroplasty
Anahtar Kelimeler: Rektosel, iskioanal fossa, anal sfinkteroplasti
A rectocele can be defined as a herniation of the rectal wall into the vagina (Figure 1). Rectocele almost always is a female disease, and it is also called as posterior vaginal prolapse. The rectovaginal septum weakness is considered as the main cause of the rectocele. The rectovaginal septum is composed of a fibromuscular layer of tissue which is contributed of the smooth muscle, collagen and elastin, it is referred as Denonvillier fascia by some clinicians. There are similar etiopathogenetic factors in both of fecal incontinence and rectocele, e.g. multiparity, difficult birth story and age. Constipation, obstructive defecation, and increase in vaginal bulging with Valsalva maneuver are the main complaints in the patients who have rectocele. A variety of surgical techniques have been described...
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