Karl M Bek

Publications (2)3.6 Total impact

• Article: Outcome of site-specific fascia repair for rectocele.

  Chrysanthi Sardeli, Susanne M Axelsen, Daniel Kjaer, Karl M Bek
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  ABSTRACT: This article presents the anatomic and functional outcome of site-specific fascia repair for rectocele performed under local anesthesia. Methods. In this case series, 51 consecutive patients underwent site-specific rectocele repair under local anesthesia. Patients were subsequently reviewed in the outpatient clinic. The mean follow-up period was 26.7 months. Pelvic examination revealed recurrence of posterior vaginal wall prolapse in 31% (16/51). Improvement in emptying the rectum was achieved in 23% (7/30), and 23% (7/30) were relieved from constipation. One patient developed de novo dyspareunia. Some 92% of the patients (47/51) would recommend local anesthesia. Anatomic correction of posterior vaginal wall prolapse does not guarantee alleviation of all symptoms, especially those regarding defecation; however, postoperative dyspareunia levels are low. The use of local anesthesia is associated with high patient satisfaction. Patients should be informed that total recovery from accompanying subjective symptoms cannot be guaranteed.
  Acta Obstetricia Et Gynecologica Scandinavica 02/2007; 86(8):973-7. · 1.77 Impact Factor
• Article: Use of porcine small intestinal submucosa in the surgical treatment of recurrent rectocele in a patient with Ehlers-Danlos syndrome type III.

  Chrysanthi Sardeli, Susanne M Axelsen, Karl M Bek
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  ABSTRACT: Ehlers-Danlos syndrome (EDS) is a heterogeneous group of connective tissue disorders involving various organ systems. We report the case of a female patient with Ehlers-Danlos syndrome type III (EDS III) presenting with a recurrent rectocele in whom porcine small intestinal submucosa mesh was used successfully to correct the defect in the rectovaginal fascia.
  International Urogynecology Journal 16(6):504-5. · 1.83 Impact Factor