Thiersch Procedure for Rectal Prolapse: Experiences From a Single Institution

Abstract

The Thiersch procedure is a simple and safe surgical management option for rectal prolapse. Herein, experiences—the perioperative factor, functional outcome, recurrence, and complications—from a single institution are reported. Medical records were reviewed to identify patients diagnosed with rectal prolapse, and only patients who underwent the Thiersch procedure. The clinical presentations, perioperative findings, complications, recurrences, and long-term functional outcomes were collated. Twenty-four patients underwent the Thiersch procedure for rectal prolapse between 1995 and 2014. The mean operative time was 55.5 ± 25.6 minutes and postoperative wound pain was minor. The major complications were urine retention (29.2%) and wound infection (16.7%). All patients experienced symptom improvement after the operation and recovered their anal tone. Although the Thiersch procedure entails certain recurrence and infection rates, it provides improved functional outcomes and low perioperative risks.