Midline rectovaginal fascial plication: Anatomical and functional outcomes at one year

Objectives: To evaluate anatomical and functional results at one year of midline rectovaginal fascial plication (MFP) for rectocele.

Material and methods: Single-center observational study performed in a gynecologic-obstetrics department of a university hospital. Inclusion criteria were patients with isolated or associated rectocele treated by MFP. The success rate defined by a Bp point < 0 cm, improvement of symptoms, and satisfaction were evaluated at one year. Quality of life questionnaires were distributed pre- and postoperatively at one year.

Results: 34/46 (74%) patients were interviewed pre and postoperatively including a POPQ evaluation in only 30 patients. Anatomical success rate was 28/30 (93%) (p < 0.0001). There was an improvement in the sensation of vaginal bulge with 22/34 patients (65%) no longer having this symptom (p < 0.0001) and only one patient (1/34, 3%) underwent surgery for recurrence of the rectocele. 24/34 patients (71%) were satisfied with their surgery at one year.

Conclusion: Anatomical and functional results of MFP for rectocele are encouraging and must be confirmed on a longer follow up.