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Related Experiment Videos

Concurrent genital and rectal prolapse: two pathologies--one joint operation.

A Dekel1, D Rabinerson, Z B Rafael

  • 1Department of Gynaecology, Rabin Medical Center, Petah Tiqva, Israel.

BJOG : an International Journal of Obstetrics and Gynaecology
|January 25, 2000
PubMed
Summary

This study shows a combined surgical approach for genital and rectal prolapse is safe and effective. Patients experienced no prolapse recurrence and maintained continence after the procedure.

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Area of Science:

  • Gynecology
  • Colorectal Surgery
  • Pelvic Floor Disorders

Background:

  • Genital and rectal prolapse often occur concurrently, posing complex treatment challenges.
  • Existing treatments may not adequately address combined prolapse, impacting quality of life.

Purpose of the Study:

  • To prospectively assess the efficacy and safety of a combined surgical procedure for concomitant genital and rectal prolapse.
  • To evaluate post-operative outcomes, including prolapse recurrence and patient continence.

Main Methods:

  • A cohort of 10 women with concomitant genital and rectal prolapse underwent a two-stage surgical repair.
  • The procedure involved Joel-Cohen vaginal hysterectomy for genital prolapse and the Altemeier procedure (transperineal rectosigmoidectomy) for rectal prolapse.

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Main Results:

  • All 10 patients experienced an uneventful post-operative course with no prolapse recurrence during a three-year follow-up.
  • Transrectal manometry demonstrated improved sphincteric tone, and all patients maintained bladder and rectal continence.

Conclusions:

  • The combined surgical procedure is a safe, easy to perform, and effective treatment for concurrent genital and rectal prolapse.
  • This approach successfully addresses recurrence and maintains continence, offering a solution for a debilitating condition.