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Resection rectopexy for external rectal prolapse reduces constipation and anal incontinence
E Johnson1, A Stangeland, H O Johannessen
1Department of Gastroenterological Surgery, Ulleval University Hospital, Oslo, Norway. egil.johnson@ulleval.no
Summary
Resection rectopexy significantly improved constipation and anal incontinence in patients with external rectal prolapse. Symptoms like incomplete evacuation and pain were reduced, leading to better bowel function.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- External rectal prolapse affects bowel function, causing constipation and anal incontinence.
- Surgical intervention is often necessary for managing severe cases.
Purpose of the Study:
- To evaluate the impact of resection rectopexy on constipation and anal incontinence.
- To assess changes in patient-reported outcomes following the procedure.
Main Methods:
- Twenty patients underwent laparoscopic or open resection rectopexy for external rectal prolapse.
- Prospective evaluation using validated KESS-constipation and incontinence scores pre- and post-surgery.
Main Results:
- Significant reduction in constipation scores at 4 and 17 months post-surgery.
- Improvement in four key constipation symptoms: incomplete evacuation, prolonged toilet time, enema use, and straining.
- Significant reduction in anal incontinence scores, with 13 out of 14 affected patients showing improvement.
Conclusions:
- Resection rectopexy is effective in alleviating constipation and anal incontinence associated with external rectal prolapse.
- The procedure leads to improved bowel function and quality of life for patients.
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