ABSTRACT
Descent of the posterior compartment induces a variety of pathologies: solitary rectal ulcer, recto-rectal intussusception, deep pouch of Douglas with elytrocele, rectal prolapse with or without incontinence, and in the female rectocele. In the female the anterior rectal wall is easier defined with help of a rectal probe and a vaginal probe in the posterior fornix moved in the anteroposterior axis of the pelvis in opposite directions. Conserving all the latero-posterior rectal relations we believe to be able to avoid postoperative defecation disturbances, disturbances that occur in 50% of the posterior rectopexies. The depth of dissection is checked under both visual and digital control until 4 to 6 cm from the anal border. The technique described herein is a rectopexy using an anterior mesh. It is short technique because of the low incidence of postoperative-induced obstructive defecation and also because the procedure allows an easy treatment of the vaginal vault prolapse or uterine descent by colpopexy.
