Abstract
Abstract
Purpose
Rectal prolapse (RP) is a debilitating condition associated with symptoms such as fecal incontinence, obstructed defecation, incomplete rectal evacuation, and significant discomfort. Recent evidence highlights the strong correlation between prolapse development and the size of the pelvic hiatus (GH). Surgical studies have suggested a potential link between an enlarged pelvic hiatus and prolapse recurrence. This study aims to evaluate recurrence rates in patients with rectal prolapse characterized by a wide pelvic hiatus who underwent surgical management.
Methods
In this prospective cohort study, 60 patients with rectal prolapse and a wide pelvic hiatus were divided into two groups, each comprising 30 patients. One group underwent rectal prolapse repair, while the other group underwent rectal prolapse repair with levatorplasty.
Results
The levatorplasty group exhibited notable improvements in Wexner scores and lower recurrence rates compared to the other group. Both groups demonstrated similar outcomes in terms of postoperative pain and dyspareunia.
Conclusion
Rectal prolapse repair combined with levatorplasty represents an effective approach for patients presenting with rectal prolapse and a wide pelvic hiatus. This combination results in improved Wexner scores and reduced recurrence rates, providing valuable insights into the management of this challenging condition.
Publisher
Research Square Platform LLC
Reference24 articles.
1. Rao SSC, Tetangco EP. Anorectal Disorders: An Update. J Clin Gastroenterol. 2020;54(7):606–613. doi: 10.1097/MCG.0000000000001348. PMID: 32692116.
2. Practice parameters for the management of rectal prolapse;Varma M;Dis Colon Rectum,2011
3. Wang, C.N. and Chung, D.E., 2023. Etiology, Diagnosis, and Management of Pelvic Organ Prolapse: Overview. Female Genitourinary and Pelvic Floor Reconstruction, pp.1–12.
4. Outcome of a Modified Laparoscopic Suture Rectopexy for Rectal Prolapse with the Use of a Single or Double Suture: A Case Series of 15 Patients;Yasukawa D;Am J Case Rep,2017
5. Functional Disorders: Rectocele;Mustain WC;Clin Colon Rectal Surg,2017