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Related Experiment Videos

Abdominal rectopexy for complete prolapse: prospective study evaluating changes in symptoms and anorectal function.

M V Madden1, M A Kamm, R J Nicholls

  • 1St. Mark's Hospital, London, United Kingdom.

Diseases of the Colon and Rectum
|January 1, 1992
PubMed
Summary

Abdominal rectopexy surgery improved incontinence and rectal prolapse symptoms. However, it may worsen constipation and abdominal pain in some patients, highlighting complex effects on bowel function.

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Area of Science:

  • Colorectal Surgery
  • Gastroenterology
  • Pelvic Floor Disorders

Background:

  • Assessing rectopexy's impact on bowel function is challenging due to unreliable preoperative data in retrospective studies.
  • Rectal prolapse significantly impacts defecation and can cause abdominal pain.

Purpose of the Study:

  • To prospectively evaluate the effects of abdominal rectopexy on bowel symptoms and anorectal function.
  • To identify changes in constipation, incontinence, abdominal pain, and anorectal physiology post-surgery.

Main Methods:

  • Prospective study of 23 patients undergoing abdominal rectopexy.
  • Assessment of bowel symptoms and anorectal function tests before and three months after surgery.

Main Results:

Related Experiment Videos

  • Rectopexy resolved complete prolapse and reduced bleeding; incontinence significantly improved.
  • Constipation and abdominal pain showed mixed results, with some patients improving and others developing new symptoms.
  • Maximal anal resting pressure increased, but this did not correlate with improved continence; balloon expulsion capacity remained largely unchanged.

Conclusions:

  • Abdominal rectopexy effectively treats rectal prolapse and improves incontinence.
  • The surgery can have variable effects on other bowel symptoms like constipation and abdominal pain, necessitating careful patient selection and counseling.