Proctoperineorrhaphy

Proctoperitoneovaginopelocolpoperineorrhaphy is a complex type of surgical intervention in the pelvic area in women with the spread of adenomyosis to the rectum and vaginal vaults (or without it), followed by transfer of the vaginal septum on one side and the creation of a U-shaped flap from the vaginal wall, lining it from the inside and by laparotomy a suture applied to the base of the anterior and posterior walls of the rectum.

Introduction. Pelvic floor anomaly is a common problem in the practice of proctologists, especially among older women. Impaired pelvic floor muscle stability can be caused by both congenital and acquired diseases, including cancer. These diseases can lead to trauma to the perianal bone, as well as narrowing of the anus and rectocele.

**Proctoperineorectopexy** (PROCTO- and PERINEOPERINEAL RHAPHE suture + Greek ekkíssis, from paroísía to pull) is a conservative method of surgical treatment of obstructive forms of encopresis involving the rectum and perineum (parahepatic, pararectal, perigeal-perirectal forms). It is a plastic surgery of the rectus perineum muscles using the Nesbit method. **Indications**. Any forms of encopresis, including hereditary nature, urinary dyssignosis and genitourethral urgency syndrome with anal fissures in children at any age; intussusception