Vermeidung von Clustering und Urge bei der chirurgischen transanalen Therapie der distalen tiefen Rektozele

Translated title of the contribution: Avoiding Clustering and Urge in Transanal Surgery for Deep Distal Rectocele

Claudia Benecke*, Gianluca De Santo, Martin Strik, Tobias Keck, Markus Zimmermann

*Corresponding author for this work
1 Citation (Scopus)


Discrimination between functional and morphological influences in obstructive defecation syndrome is challenging. The predictability of surgical success is still in discussion. Final understanding of the rectally induced variability in colonic motility is still missing, so that morphological changes cannot solely serve as indication. Finally the physiology of the enteric nervous system has to be taken into account in choosing an approach. A modified Sullivan procedure was tested in the treatment of distal deep rectocele with respect to short- and long-term results for complications, obstructive symptoms and explicitly with regard to urge and clustering complaints. Between January 2009 and January 2014, 35 women complaining of obstructive symptoms with distal deep rectocele were operated on in a modified Sullivan technique. There were no intraoperative nor early postoperative complications; 4 weeks postoperatively no urge or clustering was discovered. In a long-term questionnaire, more than 80% of the patients were satisfied with the procedure; the mean obstructive defecations score was lowered by 9 points.

Translated title of the contributionAvoiding Clustering and Urge in Transanal Surgery for Deep Distal Rectocele
Original languageGerman
JournalZentralblatt fur Chirurgie - Zeitschrift fur Allgemeine, Viszeral- und Gefäßchirurgie
Issue number4
Pages (from-to)402-407
Number of pages6
Publication statusPublished - 2019

Research Areas and Centers

  • Research Area: Luebeck Integrated Oncology Network (LION)


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