Evidence map›Paper›PMID 40423835›Full record

Trial reportTechniques in coloproctology2025

Outcomes of laparoscopic ventral mesh rectopexy versus trans-vaginal repair in management of anterior rectocele, a randomized controlled trial.

A Sanad, A Sakr, H Elfeki, W Omar, W Thabet, E Fouda, E Abdallah, S A Elbaz

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Techniques in coloproctology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06633172 (Laparoscopic Ventral Mesh Rectopexy Versus Trans-vaginal Repair in Management of Anterior Rectocele; a Randomized Controlled Trial.), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06633172 nacompletednot on this map

Laparoscopic Ventral Mesh Rectopexy Versus Trans-vaginal Repair in Management of Anterior Rectocele; a Randomized Controlled Trial.

TypeinterventionalSponsorMansoura UniversityRan2021 to 2023Enrolled40ConditionsRectocele, Anterior RectoceleArmslaparoscopic ventral mesh rectopexy, Trans vaginal repair
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

A SanadColorectal Surgery Unit, Department of Surgery, Mansoura University Hospitals, Mansoura, Egypt.
A SakrColorectal Surgery Unit, Department of Surgery, Mansoura University Hospitals, Mansoura, Egypt. Ahmadsakr1987@gmail.com.
H ElfekiColorectal Surgery Unit, Department of Surgery, Mansoura University Hospitals, Mansoura, Egypt.
W OmarColorectal Surgery Unit, Department of Surgery, Mansoura University Hospitals, Mansoura, Egypt.
W ThabetColorectal Surgery Unit, Department of Surgery, Mansoura University Hospitals, Mansoura, Egypt.
E FoudaColorectal Surgery Unit, Department of Surgery, Mansoura University Hospitals, Mansoura, Egypt.
E AbdallahColorectal Surgery Unit, Department of Surgery, Mansoura University Hospitals, Mansoura, Egypt.
S A ElbazColorectal Surgery Unit, Department of Surgery, Mansoura University Hospitals, Mansoura, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnterior rectocele is one of the most common colorectal problems with symptoms of obstructed defecation or rectal emptying difficulties. The aim of this study is to compare the outcomes of laparoscopic ventral mesh rectopexy (LVMR) and transvaginal repair (TVR) for symptomatic anterior rectocele.

methodsThis is a prospective randomized controlled trial conducted with 40 women. Patients were randomized into two groups. LVMR was done in the first group, whereas the second group underwent TVR. Patient outcomes were compared regarding improvement in constipation using the Cleveland Clinic Constipation (CCC) score and sexual-related quality of life score using the short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) at 6- and 12-month follow-up.

resultsForty females were enrolled in this trial. Each group comprised 20 patients. Preoperatively, the CCC score was 17 ± 2.8 in the LVMR group vs. 17.3 ± 2 in the TVR group (P = 0.278). A significant decrease in the constipation score was recorded in each group at 6 and 12 months after surgery. Regarding sexual function, the mean PISQ-12 score at 6 months was 32 ± 3.9 for LVMR vs. 35 ± 1.4 for TVR, P < 0.001), while at 12 months no difference was noted between the two groups. However, each group showed significant improvement in the PISQ-12 score at 6- and 12-month follow-up.

conclusionComparable results were noted for LVMR and TVR in management of anterior rectocele. Obstructive defecation symptoms and sexual function showed significant improvement after 1 year of follow-up. Nevertheless, long-term follow-up is needed. CLINICAL

trial registrationThe study was registered in the clinical trials registry with registration number NCT06633172.

Indexed as

LaparoscopyRectoceleRectumSurgical MeshAdultAgedConstipationFemaleHumansMiddle AgedPostoperative ComplicationsProspective StudiesQuality of LifeTreatment OutcomeVaginaConstipationFunctional outcomeRectoceleTransvaginal repairVentral mesh rectopexy

Identifiers

PMID40423835
PMCPMC12116917

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.