%0 Journal Article %T Bloodless Outpatient Surgical Treatment of Rectocele and Cystocele under Local Anesthesia %A Octacílio Figueirêdo Netto %A Priscila Garcia Figueirêdo %A Eduardo Garcia Figueirêdo %A Wildecir Barros %J Open Journal of Obstetrics and Gynecology %P 569-577 %@ 2160-8806 %D 2021 %I Scientific Research Publishing %R 10.4236/ojog.2021.115053 %X Background: Surgical treatment of rectocele and cystocele is usually performed in a hospital setting under regional (spinal or epidural) or general anesthesia, and patients commonly have to stay in the hospital for at least one or two days. The possibility of performing the surgery under local anesthesia, as an outpatient procedure with minimal bleeding and pain, no surgical assistants, with immediate discharge and, most importantly, without compromising postoperative results, is appealing. To our knowledge, no studies have evaluated whether performing rectocele and/or cystocele rectocele repair under local infiltration anesthesia and without separation of the vaginal mucosa from the underlying fascia achieves these goals. Objective: The aim of this study is to describe a new surgical technique for outpatient treatment of cystocele and rectocele under local anesthesia, and our initial results. Materials and Methods: Forty women underwent outpatient surgical repair of rectocele and/or cystocele between April and September 2020 at the ambulatory procedure room of the authors’ clinics. The technique consists of a triangular-shaped CO₂ laser vaporization or electrocauterization of the posterior and/or anterior vaginal epithelium, followed by plication of the edges of the triangle with 0 polygalactin suture. A perineorrhaphy was always performed concomitantly with rectocele repair, and a transobturator sling was performed in women presenting with concomitant stress urinary incontinence. Postoperative evaluation included POP-Q measurement for each patient six months after the procedure, %K Rectocele %K Cystocele %K Pelvic Organ Prolapse Repair %K Local Anesthesia %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=109171