Obstructed Defecation Syndrome: Analysis of the Efficacy and Mid-Term Quality of Life of an Innovative Robotic Approach.

Abstract

<b>Background:</b> The goal of our research is to demonstrate how the combination of Rectal wall Plication (RP) and robotic Ventral Mesh Rectopexy (VMR) results in a safe and effective operation that provides superior outcomes for patients with Obstructed Defecation Syndrome (ODS). <b>Methods:</b> In a total of 78 women with ODS with posterior compartment prolapse, 30 had VMR whereas 33 received VMR plus RP. We assessed VMR and VMR + RP's efficacy and safety, as well as their influence on quality of life and sexual function. <b>Results:</b> At the median follow-up, both groups' POP-Q categorization scores for the posterior compartment decreased (<i>p</i> < 0.001). In terms of quality of life, the PISQ-12 showed an increase in sexual quality (30.12 ± 7.12 vs. 35.98 ± 5.98 in the VMR group and 29.65 ± 6.45 vs. 29.65 ± 6.45 in the VMR + RP group, <i>p</i> = 0.041). In the VMR + RP group, the number of sexually active patients with at least two sexual interactions per month rose (<i>p</i> = 0.033). At the median follow-up, the ODS score values differed significantly (7.11 ± 1.65 vs. 1.88 ± 1.89, <i>p</i> = 0.013). <b>Conclusions:</b> The combination of rectal wall plication and ventral mesh rectopexy may result in improved bowel function and quality of life.