1. A major advantage is the repair of rectocele and intussusception in a single transanal approach.

2. Rectal intussusception and ventral rectocele are frequent morphological findings in patients suffering from obstructed defecation syndrome (ODS).

3. 19 The first three primary diseases that caused ROOC were intra- mucosal intussusception of the rectum (11 cases, 33% ), rectocele(10 cases, 3%), and descent of perineum(5 cases,(www.Sentencedict.com) 15%).

4. ‘I have my patients stand while I perform a Bimanual examination and try to feel for Bartholin's gland enlargement, prolapse, cystocele, rectocele and tightening of the vaginal muscles on digital insertion.’

5. Among them we found 7 patients with benign soft tissue tumors, 5 patients with anal fistulas, 1 patient with an abscess on the pelvic wall, 1 patient with a rectocele, 1 patient with an inoperable, restrictive oesophageal carcinoma, and 8 patients with metastatic lesions in the liver.