Preventive posterior mesh placement during laparoscopic double sacrocolpopexy for anterior urogenital prolapse: anatomical and functional outcomes from a 20-year single center experience.

At reassessment, 71% of the cohort (29/41) had no rectocele.

Among the 12 patients with postoperative rectocele (29% with follow-up > 5 years), the vast majority had Baden-Walker stage 1 rectocele (11/12).

In the long-term (follow-up > 5 years), 9% (4/41) had persistent anorectal discomfort, compared with 39% (16/41) in the early postoperative period (< 3 months), suggesting that persistent ano-rectal discomfort improves over time after surgery.