Editing Rectocoele (section)

== '''Surgical intervention''' ==

* 'Usually reserved for highly     selective patients in whom medical management has failed' as per Sabiston
* Goal: to relieve symptoms     related to anatomic support defect
* Indications:
** Hydronephrosis from chronic      ureteral kinking
** Vaginal erosions that do not      resolve with conservative treatment
** Obstructed urination or      defecation
** Severe symptoms
* Posterior colporrhaphy
* Site-specific defect repair
* Graft augmentation
* Endorectal repair
* Perineorrhaphy
* Anal sphincteroplasty
* Ventral mesh rectopexy
** May address symptomatic      rectocoele and internal rectla intussusception
** Mobilise rectum anteriorly,      without division of lateral ligaments
** Pelvic floor musculature and      anterior rectum are suspended using a mesh sling sutured to the sacrum


[[Category:Colorectal]]