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Updated: Aug 14, 2026
07:41
Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
Published on: April 17, 2019
[Rectal prolapse in adults--causes, diagnostic, treatment]
1Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes-Gutenberg-Universität Mainz, Langenbeckstrasse 1, 55131 Mainz, Germany. korenkov@ach.klinik.uni-mainz.de
Zentralblatt Fur Chirurgie
|December 31, 2005
Summary
Surgical approaches for rectal prolapse remain debated. This study found posterior rectopexy and resection rectopexy have similar outcomes regarding recurrence, continence, and constipation, suggesting individualized treatment for rectal prolapse.
Area of Science:
- Colorectal Surgery
- Gastrointestinal Surgery
- Surgical Outcomes Research
Background:
- Rectal prolapse surgical treatment selection is controversial.
- Criteria for abdominal vs. perineal approaches and rectopexy vs. resection rectopexy are not definitively established.
Purpose of the Study:
- To review literature on rectal prolapse surgical management.
- To analyze outcomes of posterior rectopexy and resection rectopexy in patients with severe rectal prolapse.
Main Methods:
- Literature review of rectal prolapse surgical options.
- Comparative analysis of conventional and laparoscopic posterior rectopexy and resection rectopexy in 25 patients.
- Assessment of recurrence, continence, and constipation during follow-up.
Main Results:
- Low recurrence rates (one in each group) observed in both rectopexy and resection rectopexy groups.
- No significant differences in continence function or constipation between the groups.
- No mesh-related complications were reported for either procedure.
Conclusions:
- Individualized criteria should guide the surgical choice for rectal prolapse.
- Laparoscopic procedures like resection rectopexy and rectopexy without colonic resection are suitable for fit patients.
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