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165 ©Copyright 2017 by Turkish Society of Colon and Rectal Surgery Turkish Journal of Colorectal Disease published by Galenos Publishing House. Dear Editor; A rectocele can be defined as a herniation of the rectal wall into the vagina (Figure 1). Rectocele almost always is a female disease, and it is also called as posterior vaginal prolapse. The rectovaginal septum weakness is considered as the main cause of the rectocele. The rectovaginal septum is composed of a fibromuscular layer of tissue which is contributed of the smooth muscle, collagen and elastin, it is referred as Denonvillier fascia by some clinicians. There are similar etiopathogenetic factors in both of fecal incontinence and rectocele, e.g. multiparity, difficult birth story and age. Constipation, obstructive defecation, and increase in vaginal bulging with Valsalva maneuver are the main complaints in the patients who have rectocele. A variety of surgical techniques have been described for rectocele treatment including posterior colporrhaphy, transanal or transperineal repair, and abdominal approaches, and posterior colporrhaphy is the most common used surgical technique, currently. Anatomically, the rectocele is related with ischioanal compartment of the body. Based on current anatomical knowledges, the sublevator part of the lower rectum and the coil-like external anal sphincteric musculature surrounding it compose the nested two cylindrical musculer tube called as surgical anal canal in the ischional fossa. When looked from

turkish journal of colorectal disease

Anterior Sphincteroplasty Procedure Should Be Considered in the Treatment of the Rectocele Because of the Incomplete External Anal Sphincteric Rupture Accompaniment