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Related Experiment Videos

Devadhar's operation for complete rectal prolapse: 25 years' experience.

Vinay G Mehendale1, Namita C Chaudhari, Sharad N Shenoy

  • 1Department of Surgery, Seth V C Gandhi and M A Vora Municipal General Hospital, Rajawadi, Mumbai-400 077, India. drvgm@vsnl.com

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|March 22, 2005
PubMed
Summary

Devadhar's rectopexy is a safe surgical option for complete rectal prolapse, showing no sexual or urinary side effects. This procedure also demonstrated low rates of prolapse recurrence and complications.

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Area of Science:

  • Colorectal Surgery
  • Surgical Outcomes
  • Pelvic Floor Disorders

Background:

  • Complete rectal prolapse necessitates surgical intervention, with various abdominal and perineal procedures available.
  • Devadhar's rectopexy offers an alternative by avoiding presacral space dissection, potentially reducing sexual and urinary complications.

Purpose of the Study:

  • To evaluate the efficacy and safety of Devadhar's rectopexy in treating complete rectal prolapse.
  • To assess the incidence of sexual dysfunction, urinary disturbances, and prolapse recurrence following the procedure.

Main Methods:

  • A retrospective review of 72 consecutive adult patients with complete rectal prolapse treated with Devadhar's rectopexy.
  • Analysis of patient records to determine complications, functional outcomes, and recurrence rates.

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Main Results:

  • Only 3 patients experienced mucosal prolapse; no men reported erectile dysfunction or retrograde ejaculation.
  • No patients experienced micturition disturbances. Prolapse recurrence occurred in 2.7% of patients, and constipation persisted in 8.5%.

Conclusions:

  • Devadhar's rectopexy is associated with a low risk of sexual and micturition dysfunction in patients with complete rectal prolapse.
  • The procedure demonstrates favorable outcomes regarding prolapse recurrence and complication rates.