The Outcomes of the Transanal Anterior Delorme Procedure for Rectoceles

Abstract

Introduction: The aim of this study was to assess the efficacy of the transanal anterior Delorme (TAD) procedure for patients with rectoceles.
Methods: Patients with symptoms of obstructed defecation were examined by defecography and those having rectoceles underwent the TAD procedure. The patients were evaluated by clinical symptoms, manometric and volumetric tests. Constipation and fecal incontinence was evaluated with the Constipation Scoring System (CSS) and Fecal Incontinence Severity Index (FISI). Defecography was performed before and 6 months after operation.
Results: A total of 11 patients were female. The size of the rectocele significantly decreased and clinical symptoms were improved postoperatively. CSS and FISI improved significantly after operation, although the latter deteriorated transiently. Manometric and volumetric tests showed no significant change after operation.
Conclusion: The TAD procedure may be an effective perineal approach for rectoceles.