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#401

Transvaginal rectocoele repair is a valid surgical option for symptomatic rectocoeles refractory to conservative treatment Ferrari L1, Cuinas K1, Morris S2, Williams A1, Darakhshan A1, Schizas A1 1. Guy's and st Thomas' NHS Foundation Trust, 2. Barts Health NHS Trust KEYWORDS: Bowel Evacuation Dysfunction, Constipation, Pelvic Organ Prolapse, Pelvic Floor Rectocoeles result from weakness in the rectovaginal septum, which causes a herniation of the anterior rectal wall into the posterior wall of the vagina. Rectocoeles can be asymptomatic and incidental findings during pelvic floor assessment or might prevent complete evacuation with trapping of faeces causing obstructive defaecation symptoms (ODS). First line treatment for rectocoele causing ODS are conservative measures with the aim to improve rectocoele emptying, while surgery is reserved for patients not achieving satisfactory improvements. Different surgical techniques have been described to repair symptomatic rectocoeles, with the aim of these techniques is to reinforce the rectovaginal septum. The standard repair offered in our trust in women with rectocoele leading to obstructive defaecation symptoms, refractory to extensive conservative treatment, is a native tissue transvaginal rectocoele repair (TVRR) performed by colorectal surgeons with a specific interest in pelvic floor disorders. Primary aim of the study is to assess the efficacy of the procedure, while secondary aim is to establish specific symptom improvement after the surgical repair. Read the full abstract text here: https://www.ics.org/2020/abstract/401